GREGORY LEE IVY

EUGENE, OR
NPI1790914711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WH0500X Registered Nurse, Hemodialysis
(Licence: OR  080044735RN)
Enumeration Date2009-07-12
Last Update Date2009-07-12
Business Address
-- GREGORY LEE IVY RN
615 KOURT DR
EUGENE, OR 97404-2279
Phone number: 541-514-4891
Mailing Address
-- GREGORY LEE IVY RN
615 KOURT DR
EUGENE, OR 97404-2279
Phone number: 541-514-4891
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