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1578321352
JACEY LYNN TEETER
LA GRANDE, OR
NPI
1578321352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 202007340RN)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
JACEY LYNN TEETER BSN, RN
1305 N WILLOW ST
LA GRANDE, OR 97850-3822
Phone number: 541-663-3200
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Mailing Address
JACEY LYNN TEETER BSN, RN
PO BOX 165
IMBLER, OR 97841-0165
Phone number: 541-910-6517
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