DAPHNE TADLOCK

SALEM, OR
NPI1871988485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  097003182LPN)
Enumeration Date2015-03-31
Last Update Date2015-03-31
Business Address
-- DAPHNE TADLOCK LPN
547 KNAPP PL NE
SALEM, OR 97301-2443
Phone number: 971-240-0199
Mailing Address
-- DAPHNE TADLOCK LPN
547 KNAPP PL NE
SALEM, OR 97301-2443
Phone number: 971-240-0199
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