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1912906470
HEIDI JO CARLSON
BROOKINGS, OR
NPI
1912906470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 200150156)
Enumeration Date
2005-07-18
Last Update Date
2014-09-08
Business Address
Mrs. HEIDI JO CARLSON FNP
446 OAK ST / 6579
BROOKINGS, OR 97415-0285
Phone number: 541-412-8898
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Mailing Address
Mrs. HEIDI JO CARLSON FNP
PO BOX 6579 446 OAK ST / 6579
BROOKINGS, OR 97415-0285
Phone number: 541-412-8898
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