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Individual

JENNY YVANEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-7453
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-7453

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201393396LPN
OR

Other

Enumeration date
03/10/2014
Last updated
03/10/2014
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