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1508589607
CARRIE ELLEN VALLE
COOS BAY, OR
NPI
1508589607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 10017963)
Enumeration Date
2022-09-22
Last Update Date
2024-11-12
Business Address
CARRIE ELLEN VALLE FNP-C
1495 TEAKWOOD AVE
COOS BAY, OR 97420-2146
Phone number: 208-999-6010
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Mailing Address
CARRIE ELLEN VALLE FNP-C
1495 TEAKWOOD AVE
COOS BAY, OR 97420-2146
Phone number: 208-999-6010
Copy
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