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1649905928
MICAH WOOD
WHITE CITY, OR
NPI
1649905928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201143376RN)
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
MICAH WOOD MSN, RN
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
MICAH WOOD MSN, RN
2310 RIDGE WAY
MEDFORD, OR 97504-6357
Phone number: 541-621-8685
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