Individual
MRS. THERESA L SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3500 E ANTELOPE RD, EAGLE POINT, OR 97524-7875
(541) 826-5818
Mailing address
3500 E ANTELOPE RD, EAGLE POINT, OR 97524-7875
(541) 826-5818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
08600325RN
OR
163W00000X
Registered Nurse
658775-3102
UT
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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