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1063048890
MINO FULLER
CORVALLIS, OR
NPI
1063048890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
MINO FULLER
1760 SW 3RD ST
CORVALLIS, OR 97333-1725
Phone number: 720-323-8971
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Mailing Address
MINO FULLER
1760 SW 3RD ST
CORVALLIS, OR 97333-1725
Phone number:
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