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1487333928
BROOKE REAVIS
SALEM, OR
NPI
1487333928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 10010750)
Enumeration Date
2023-07-12
Last Update Date
2023-07-17
Business Address
BROOKE REAVIS
1015 3RD ST NW
SALEM, OR 97304-4007
Phone number: 503-588-3600
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Mailing Address
BROOKE REAVIS
1015 3RD ST NW
SALEM, OR 97304-4007
Phone number:
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