CAROL MAE EMBERTSON

ROSEBURG, OR
NPI1265563951
Former NameCAROL MAE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  24166)
Enumeration Date2007-03-07
Last Update Date2008-08-30
Business Address
-- CAROL MAE EMBERTSON
2459 NW STEWART PKWY
ROSEBURG, OR 97470-1596
Phone number: 541-677-2102
Mailing Address
-- CAROL MAE EMBERTSON
1252 NW CHERRY DR
ROSEBURG, OR 97470-1820
Phone number: 541-672-2564
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