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1568960599
IRENE CRYSTAL WILLITS
SPRINGFIELD, OR
NPI
1568960599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201403163LPN)
Enumeration Date
2018-01-24
Last Update Date
2018-02-26
Business Address
IRENE CRYSTAL WILLITS LPN
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-729-7585
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Mailing Address
IRENE CRYSTAL WILLITS LPN
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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