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1083069397
LANE MELLOR
LEBANON, OR
NPI
1083069397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-04-25
Last Update Date
2016-04-25
Business Address
-- LANE MELLOR
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0200
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Mailing Address
-- LANE MELLOR
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number:
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