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1316106479
DARYL GLEN OTTAWAY
SALEM, OR
NPI
1316106479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WX0106X Registered Nurse, Occupational Health
(Licence: OR 200340189RN)
Enumeration Date
2008-06-04
Last Update Date
2008-06-04
Business Address
-- DARYL GLEN OTTAWAY RN
3225 STATE STREET ROOM 249
SALEM, OR 97301
Phone number: 503-584-2284
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Mailing Address
-- DARYL GLEN OTTAWAY RN
PO BOX 14350 1776 MILITIA WAY
SALEM, OR 97309-5047
Phone number: 503-584-2284
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