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1598964884
CAROL L CROCKER
SPRINGFIELD, OR
NPI
1598964884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200450098NP)
Enumeration Date
2007-07-16
Last Update Date
2020-07-17
Business Address
Ms. CAROL L CROCKER FNP
500 MAIN ST STE A
SPRINGFIELD, OR 97477-5484
Phone number: 541-505-0027
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Mailing Address
Ms. CAROL L CROCKER FNP
184 GREENVALE DR
SPRINGFIELD, OR 97477-2112
Phone number: 541-736-3406
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