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1447830674
MATTHEW SCOTT BALLANTYNE
MEDFORD, OR
NPI
1447830674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201609211RN)
Enumeration Date
2021-04-12
Last Update Date
2022-09-12
Business Address
MATTHEW SCOTT BALLANTYNE RN
3617 S PACIFIC HWY
MEDFORD, OR 97501-8957
Phone number: 541-535-6239
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Mailing Address
MATTHEW SCOTT BALLANTYNE RN
2030 GREEN MEADOWS WAY
ASHLAND, OR 97520-3673
Phone number: 541-930-2317
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