TRACI MICHELLE BOSTICK

ROSEBURG, OR
NPI1598016214
Former NameTRACI MICHELLE PHILLIPS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2012-09-20
Last Update Date2012-09-20
Business Address
-- TRACI MICHELLE BOSTICK CNA
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
Mailing Address
-- TRACI MICHELLE BOSTICK CNA
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
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