AMANDA LACKEY

CORVALLIS, OR
NPI1023808466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-05-08
Last Update Date2025-05-08
Business Address
AMANDA LACKEY
203 PHARMACY BLDG
CORVALLIS, OR 97331-8537
Phone number: 541-737-3424
Mailing Address
AMANDA LACKEY
2025 QUAIL RUN AVE
STAYTON, OR 97383-9537
Phone number: 503-800-1307
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