SHANDALL DICKE

ROSEBURG, OR
NPI1326562570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR  20094187RN)
Enumeration Date2017-07-31
Last Update Date2017-07-31
Business Address
SHANDALL DICKE
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-492-0241
Mailing Address
SHANDALL DICKE
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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