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1255641890
KATIE M BROOM
MEDFORD, OR
NPI
1255641890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200740547RN)
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
-- KATIE M BROOM RN
3617 S PACIFIC HIGHWAY
MEDFORD, OR 97501
Phone number: 541-535-6239
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Mailing Address
-- KATIE M BROOM RN
3617 S PACIFIC HIGHWAY
MEDFORD, OR 97501
Phone number: 541-535-6239
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