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1134775729
KENNETH TRIEU
ROSEBURG, OR
NPI
1134775729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0017150)
Enumeration Date
2019-08-10
Last Update Date
2019-08-10
Business Address
KENNETH TRIEU
444 SE STEPHENS ST
ROSEBURG, OR 97470-3136
Phone number: 541-672-4896
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Mailing Address
KENNETH TRIEU
3019 NW STEWART PKWY, #304 PMB 216
ROSEBURG, OR 97471-1602
Phone number:
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