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1205215480
LAUREN DALLAS
LEBANON, OR
NPI
1205215480
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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
2015-05-21
Last Update Date
2015-05-21
Business Address
-- LAUREN DALLAS
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 815-353-6886
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Mailing Address
-- LAUREN DALLAS
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number:
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