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Individual

MERRY B MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200842230RN
OR

Other

Enumeration date
05/19/2022
Last updated
05/19/2022
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