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1508596313
MARSHALL EDWARD TAVARES
ROSEBURG, OR
NPI
1508596313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: CA 749006)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
MARSHALL EDWARD TAVARES MSN, RN
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-440-1000
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Mailing Address
MARSHALL EDWARD TAVARES MSN, RN
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-440-1000
Copy
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