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Individual

DAWN COGLISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
20140029RN
OR
363L00000X
Nurse Practitioner
Primary
201407481NP-PP
OR

Other

Enumeration date
03/25/2014
Last updated
04/18/2019
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