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Individual

LILLIAN NISTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 CLUB RD APT 321, EUGENE, OR 97401-7949
(503) 718-8429
Mailing address
35 CLUB RD APT 321, EUGENE, OR 97401-7949

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
202000613RN
OR

Other

Enumeration date
10/04/2024
Last updated
10/04/2024
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