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1164021283
MICHAEL E GREGG
ROSEBURG, OR
NPI
1164021283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201508156LPN)
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
MICHAEL E GREGG
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3655
Phone number: 541-673-3469
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Mailing Address
MICHAEL E GREGG
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number:
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