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1396901153
ROSE MARIE SMITH
COOS BAY, OR
NPI
1396901153
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Former Name
ROSE MARIE MOUNT-PRUETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200330166LPN)
Enumeration Date
2008-07-31
Last Update Date
2008-11-12
Business Address
ROSE MARIE SMITH LPN
93601 BAY PARK LN
COOS BAY, OR 97420-3781
Phone number: 541-267-5864
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Mailing Address
ROSE MARIE SMITH LPN
93601 BAY PARK LN
COOS BAY, OR 97420-3781
Phone number: 541-267-5864
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