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1225529720
ADAM ROSARIO KELLEY
LEBANON, OR
NPI
1225529720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI)
(Licence: OR 619337-93)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
ADAM ROSARIO KELLEY
2604 S MAIN RD
LEBANON, OR 97355-2338
Phone number: 541-570-1728
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Mailing Address
ADAM ROSARIO KELLEY
2604 S MAIN RD
LEBANON, OR 97355-2338
Phone number: 541-570-1728
Copy
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