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1174974307
MELISSA DERHAK
EUGENE, OR
NPI
1174974307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201330198)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
MELISSA DERHAK LPN
715 LINCOLN ST
EUGENE, OR 97401-2502
Phone number: 541-344-3574
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Mailing Address
MELISSA DERHAK LPN
715 LINCOLN ST
EUGENE, OR 97401-2502
Phone number: 541-344-3574
Copy
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