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1205533155
CLARISSA EVANELL CARSON
MEDFORD, OR
NPI
1205533155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 10004386)
Enumeration Date
2023-02-10
Last Update Date
2023-03-08
Business Address
CLARISSA EVANELL CARSON PMHNP
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-842-7705
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Mailing Address
CLARISSA EVANELL CARSON PMHNP
1000 E MAIN ST
MEDFORD, OR 97504-7667
Phone number: 541-773-3863
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