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1437302940
CARLIE D IRVIN
GRANTS PASS, OR
NPI
1437302940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200850141NP)
Enumeration Date
2008-10-28
Last Update Date
2012-12-27
Business Address
Miss CARLIE D IRVIN NP
500 SW RAMSEY AVE
GRANTS PASS, OR 97527-5554
Phone number: 541-472-7000
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Mailing Address
Miss CARLIE D IRVIN NP
PO BOX 4749
MEDFORD, OR 97501-0227
Phone number: 541-789-5516
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