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1881290989
LEECILLE M MERTZ
BAKER CITY, OR
NPI
1881290989
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Former Name
LEECILLE M LINNELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA 61097501LPN)
Enumeration Date
2020-12-05
Last Update Date
2020-12-05
Business Address
LEECILLE M MERTZ LPN
1240 PLACE ST
BAKER CITY, OR 97814-4040
Phone number: 541-519-6647
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Mailing Address
LEECILLE M MERTZ LPN
516 E 1ST ST
ABERDEEN, WA 98520-4106
Phone number:
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