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1174191282
SHAWNA REBECCA CLARK
NORTH BEND, OR
NPI
1174191282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 200742753RN)
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
SHAWNA REBECCA CLARK
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459-3444
Phone number: 541-751-0357
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Mailing Address
SHAWNA REBECCA CLARK
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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