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Individual

MS. KATHY ANN DALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
205 N GRANT ST, MERRILL, OR 97633-0357
(541) 798-1034
Mailing address
205 N GRANT ST, PO BOX 357, MERRILL, OR 97633-0357
(541) 798-1034

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
084053883RN
OR
163WC0400X
Case Management Registered Nurse
Primary
084053883RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
084053883RN
OREGON RN LICENSE NUMBER
OR
Enumeration date
09/08/2010
Last updated
09/08/2010
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