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1609288182
NICHOLE RENNE MATZ
ROSEBURG, OR
NPI
1609288182
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Former Name
NICHOLE RENNE METTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-06-02
Last Update Date
2019-05-16
Business Address
NICHOLE RENNE MATZ BS
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
NICHOLE RENNE MATZ BS
272 MEDICAL LOOP SUITE E
ROSEBURG, OR 97471
Phone number: 541-440-3532
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