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1871076125
MADELINE DOROTHY CLARK
MEDFORD, OR
NPI
1871076125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201242340RN)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
MADELINE DOROTHY CLARK
610 S PEACH ST
MEDFORD, OR 97501-3310
Phone number: 541-842-3855
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Mailing Address
MADELINE DOROTHY CLARK
3617 S PACIFIC HWY
MEDFORD, OR 97501-8957
Phone number: 541-535-6239
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