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1629402458
JADE ELIZABETH ICE
BEND, OR
NPI
1629402458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201341671RN)
Enumeration Date
2013-08-28
Last Update Date
2013-08-28
Business Address
-- JADE ELIZABETH ICE RN
2577 NE COURTNEY DR
BEND, OR 97701-7638
Phone number: 541-322-7500
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Mailing Address
-- JADE ELIZABETH ICE RN
2577 NE COURTNEY DR
BEND, OR 97701-7638
Phone number: 541-322-7500
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