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1215281209
TAMARA COTTONGIM
MEDFORD, OR
NPI
1215281209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 096000435rn)
Enumeration Date
2012-10-30
Last Update Date
2012-10-30
Business Address
-- TAMARA COTTONGIM
3617 S PACIFIC HWY
MEDFORD, OR 97501-8957
Phone number: 541-512-3182
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Mailing Address
-- TAMARA COTTONGIM
3617 S PACIFIC HWY
MEDFORD, OR 97501-8957
Phone number: 541-512-3182
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