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1083744593
MINDY S DEPUE
CORVALLIS, OR
NPI
1083744593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR at-at-1007419)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- MINDY S DEPUE ATC
4444 NW HIGHLAND DR
CORVALLIS, OR 97330-9734
Phone number: 541-766-4909
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Mailing Address
-- MINDY S DEPUE ATC
2491 WATERFORD ST SE
ALBANY, OR 97322-8818
Phone number: 541-990-2388
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