Individual
HOLLIE JOY IMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5819 ASTER ST, 4, SPRINGFIELD, OR 97478-4918
(541) 726-4129
Mailing address
5819 ASTER ST, 4, SPRINGFIELD, OR 97478-4918
(541) 505-2999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230190LPN
OR
Other
Enumeration date
07/17/2012
Last updated
06/27/2013
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