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Individual

JOHNNIE LYNN BROPHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2121 W 14TH ST, THE DALLES, OR 97058-3637
(541) 980-0168
Mailing address
2121 W 14TH ST, THE DALLES, OR 97058-3637
(541) 980-0168

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
083044815
OR

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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