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Individual

MRS. LISA MICHELLE WESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., BSN

Contact information

Practice address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943
Mailing address
2245 CULLISON LN, GRANTS PASS, OR 97527-5737

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
201142274RN
OR

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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