NICHOLAS GEORGE LONG

NORTH BEND, OR
NPI1184361214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  092003400RN)
Enumeration Date2022-05-19
Last Update Date2022-05-19
Business Address
Mr. NICHOLAS GEORGE LONG RN
2191 MARION ST
NORTH BEND, OR 97459-2314
Phone number: 541-756-8022
Mailing Address
Mr. NICHOLAS GEORGE LONG RN
2191 MARION ST
NORTH BEND, OR 97459-2314
Phone number: 541-756-8022
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