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1104283043
KALLIE WALDRIP
CORVALLIS, OR
NPI
1104283043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-01-22
Last Update Date
2016-01-22
Business Address
-- KALLIE WALDRIP
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- KALLIE WALDRIP
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number:
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