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Individual

RICHARD DONALD DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1250 SISKIYOU BLVD, ASHLAND, OR 97520-5001
(541) 552-6701
(541) 552-6055
Mailing address
1965 E MAIN ST, ASHLAND, OR 97520-8701
(541) 301-6621
(541) 552-6055

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
076036635RN
OR
163WM0705X
Medical-Surgical Registered Nurse
076036635RN
OR

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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