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Individual

AMERICA MILANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
720 NE A ST, GRANTS PASS, OR 97526-2210
(541) 479-0394
Mailing address
PO BOX 527, MERLIN, OR 97532-0527
(541) 479-0394

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098126
OR
Enumeration date
03/12/2007
Last updated
07/09/2007
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