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1821274226
WILLIAM A. TICE
DALLAS, OR
NPI
1821274226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: OR 091003186RN)
Enumeration Date
2008-01-15
Last Update Date
2008-01-15
Business Address
Mr. WILLIAM A. TICE
438 SW COURT ST
DALLAS, OR 97338-1808
Phone number: 503-623-5984
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Mailing Address
Mr. WILLIAM A. TICE
438 SW COURT ST
DALLAS, OR 97338-1808
Phone number: 503-623-5984
Copy
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