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1063849081
MICHELLE LYNN DITTER
EUGENE, OR
NPI
1063849081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 17348)
Enumeration Date
2013-10-04
Last Update Date
2013-10-04
Business Address
-- MICHELLE LYNN DITTER LMT
5 E 24TH AVE
EUGENE, OR 97405-2907
Phone number: 541-359-8617
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Mailing Address
-- MICHELLE LYNN DITTER LMT
750 WALNUT AVE
EUGENE, OR 97404-3150
Phone number: 541-359-8617
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