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1972620300
MARY LYNN FEAGAN
MEDFORD, OR
NPI
1972620300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200430405LPN)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mrs. MARY LYNN FEAGAN LPN
2908 SONGBIRD LN
MEDFORD, OR 97504-4910
Phone number: 541-734-9360
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Mailing Address
Mrs. MARY LYNN FEAGAN LPN
2908 SONGBIRD LN
MEDFORD, OR 97504-4910
Phone number: 541-734-9360
Copy
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