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1174155980
MICHAEL ANTHONY BIGHAM
MYRTLE CREEK, OR
NPI
1174155980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202009233NP-PP)
Enumeration Date
2020-02-10
Last Update Date
2020-10-13
Business Address
MICHAEL ANTHONY BIGHAM FNP
790 S MAIN ST
MYRTLE CREEK, OR 97457-9303
Phone number: 541-672-9596
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Mailing Address
MICHAEL ANTHONY BIGHAM FNP
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
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