BRUCE GLEN SCANLON

MCMINNVILLE, OR
NPI1164485249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-115525)
Enumeration Date2006-04-10
Last Update Date2007-07-08
Business Address
Mr. BRUCE GLEN SCANLON ATC/R
615 NE 15TH ST
MCMINNVILLE, OR 97128-3317
Phone number: 503-565-4357
Mailing Address
Mr. BRUCE GLEN SCANLON ATC/R
615 NE 15TH ST
MCMINNVILLE, OR 97128-3317
Phone number: 503-565-4357
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