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1285853341
KIRK WILLIAM AUSTBO
MEDFORD, OR
NPI
1285853341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OR 096000470RN)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Mr. KIRK WILLIAM AUSTBO R.N., B.S.N.
1911 HAZEL ST.
MEDFORD, OR 97504
Phone number: 541-734-3950
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Mailing Address
Mr. KIRK WILLIAM AUSTBO R.N., B.S.N.
905 OAK ST
ASHLAND, OR 97520-1266
Phone number: 541-282-3970
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