Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family Health |
364SF0001X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1538652284 |
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| LBN Legal business name | OURAY FAMILY MEDICINE LLC | ||||
| Authorized official | SHIRLEY OLSON - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/07/2018 | ||||
| Last updated | 06/07/2018 - About 8 years ago | ||||
| Identifiers |
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