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1679028708
ALYSA RAE ELY
NEWPORT, OR
NPI
1679028708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201505814RN)
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
-- ALYSA RAE ELY RN
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-0581
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Mailing Address
-- ALYSA RAE ELY RN
1825 SE CHEDESTER RD
TOLEDO, OR 97391-2411
Phone number: 541-265-0581
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