JERRY PEARCE STATON

NEWPORT, OR
NPI1366890444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201603348RN)
Enumeration Date2016-05-30
Last Update Date2016-05-30
Business Address
-- JERRY PEARCE STATON RN
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-0581
Mailing Address
-- JERRY PEARCE STATON RN
2413 CONGER AVE NW UNIT B
OLYMPIA, WA 98502-4507
Phone number: 360-539-7365
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