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1386948818
CHERY DENISE KANDRA SMITH
COOS BAY, OR
NPI
1386948818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 097005124LPN)
Enumeration Date
2010-12-23
Last Update Date
2010-12-23
Business Address
-- CHERY DENISE KANDRA SMITH LPN
95088 ACCESS RD
COOS BAY, OR 97420-7446
Phone number: 541-267-6431
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Mailing Address
-- CHERY DENISE KANDRA SMITH LPN
95088 ACCESS RD
COOS BAY, OR 97420-7446
Phone number: 541-267-6431
Copy
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