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1821164989
TYE SOUTHERN
HILLSBORO, OR
NPI
1821164989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 000029973RN)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- TYE SOUTHERN RN
2455 SE LARKSPUR CT
HILLSBORO, OR 97123-8332
Phone number: 503-648-7148
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Mailing Address
-- TYE SOUTHERN RN
2455 SE LARKSPUR CT
HILLSBORO, OR 97123-8332
Phone number: 503-648-7148
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