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1164064036
SANTON MMBALI SHAGAVAH
CORVALLIS, OR
NPI
1164064036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR 0017415)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
SANTON MMBALI SHAGAVAH RPh
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-3737
Phone number: 541-768-5185
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Mailing Address
SANTON MMBALI SHAGAVAH RPh
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-3737
Phone number: 541-768-5185
Copy
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