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Organization
DAPHNE MED LLC
Active
Organization
DAPHNE MED LLC
Active
Other names
SELF INTEGRATIVE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN F SELF FNP (PRESIDENT)
(541) 664-5151
Entity
Organization
Contact information
Practice address
1630 SISKIYOU BLVD STE B, ASHLAND, OR 97520-2423
(541) 664-5151
(541) 664-5155
Mailing address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(541) 664-5151
(541) 664-5155
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
OR
Other
Enumeration date
07/06/2006
Last updated
11/15/2007
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