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1598204109
STACEY NELSON
MEDFORD, OR
NPI
1598204109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR 201610238RN)
Enumeration Date
2017-02-15
Last Update Date
2017-02-15
Business Address
-- STACEY NELSON RN
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 443-446-3262
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Mailing Address
-- STACEY NELSON RN
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number:
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