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1578165668
KASEY BEASLEY
WHITE CITY, OR
NPI
1578165668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201806359RN)
Enumeration Date
2020-11-12
Last Update Date
2020-12-15
Business Address
KASEY BEASLEY REGISTERED NURSE
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
KASEY BEASLEY REGISTERED NURSE
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
Copy
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