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Individual

BRITTANY MARIE KYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
25324 S HIGHWAY 211, ESTACADA, OR 97023-9677
(503) 705-7216
Mailing address
PO BOX 2691, ESTACADA, OR 97023-2691
(503) 705-7216

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202203900LPN
OR

Other

Enumeration date
04/19/2022
Last updated
04/19/2022
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