JACKIE B MICHAEL-HAVENS

BROOKINGS, OR
NPI1548701600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  202000081-NP-PP)
Enumeration Date2017-03-09
Last Update Date2020-09-03
Business Address
JACKIE B MICHAEL-HAVENS NP
500 5TH ST
BROOKINGS, OR 97415-9702
Phone number: 541-412-2000
Mailing Address
JACKIE B MICHAEL-HAVENS NP
500 5TH ST
BROOKINGS, OR 97415-9702
Phone number: 541-412-2000
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