STACEY O'SHEA BONOMO

SPRINGFIELD, OR
NPI1821393430
Former NameSTACEY ANN O'SHEA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  200530455LPN)
Enumeration Date2011-01-13
Last Update Date2011-04-27
Business Address
-- STACEY O'SHEA BONOMO LPN
2073 OLYMPIC STREET #304
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
Mailing Address
-- STACEY O'SHEA BONOMO LPN
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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