CHEYENNE MODRALL

ROSEBURG, OR
NPI1205674140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  THW000111429)
Enumeration Date2024-07-16
Last Update Date2024-07-16
Business Address
CHEYENNE MODRALL
3031 NE STEPHENS ST
ROSEBURG, OR 97470-6237
Phone number: 541-229-7051
Mailing Address
CHEYENNE MODRALL
3031 NE STEPHENS ST
ROSEBURG, OR 97470-6237
Phone number:
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