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1053042564
ANDREW AMBLE
MEDFORD, OR
NPI
1053042564
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Former Name
ANDREW TROST
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2022-06-23
Last Update Date
2024-07-30
Business Address
ANDREW AMBLE
535 SUNRISE AVE
MEDFORD, OR 97504
Phone number: 541-450-9007
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Mailing Address
ANDREW AMBLE
535 SUNRISE AVE
MEDFORD, OR 97504
Phone number: 541-450-9007
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