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1144692203
KEVIN BAIN
ROSEBURG, OR
NPI
1144692203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
-- KEVIN BAIN
272 MEDICAL LOOP SUITE C
ROSEBURG, OR 97471
Phone number: 541-440-3532
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Mailing Address
-- KEVIN BAIN
1600 NW GARDEN VALLEY BLVD SUITE 110
ROSEBURG, OR 97471
Phone number: 541-440-3532
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