MARIE IDA JOHNSONBLOUNT

MEDFORD, OR
NPI1346703022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201703975LPN)
Enumeration Date2019-04-10
Last Update Date2019-04-10
Business Address
MARIE IDA JOHNSONBLOUNT
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
Mailing Address
MARIE IDA JOHNSONBLOUNT
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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