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1588245229
STACY ANN LIPHAM
MEDFORD, OR
NPI
1588245229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR 202010833RN)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
STACY ANN LIPHAM
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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Mailing Address
STACY ANN LIPHAM
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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