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1023104791
KELLY JO KNUTSON
COOS BAY, OR
NPI
1023104791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: OR CPT-0000026)
Enumeration Date
2006-10-04
Last Update Date
2022-07-21
Business Address
KELLY JO KNUTSON CPHT
1775 THOMPSON ROAD
COOS BAY, OR 97420
Phone number: 541-269-8160
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Mailing Address
KELLY JO KNUTSON CPHT
915 ARAGO AVENUE
COOS BAY, OR 97420
Phone number: 541-888-4183
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