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1750305066
KENNETH L MILLSAP
MEDFORD, OR
NPI
1750305066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200450110NPFNP-PP)
Enumeration Date
2006-07-27
Last Update Date
2015-03-19
Business Address
-- KENNETH L MILLSAP NP
520 MEDICAL CENTER DR SUITE 201
MEDFORD, OR 97504-4334
Phone number: 541-789-5710
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Mailing Address
-- KENNETH L MILLSAP NP
2620 E BARNETT RD SUITE H
MEDFORD, OR 97504-8344
Phone number: 541-789-5250
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