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1306617337
DAN EASDALE
CORVALLIS, OR
NPI
1306617337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR THW000107037)
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
DAN EASDALE
2311 NW VAN BUREN AVE APT 5
CORVALLIS, OR 97330-5393
Phone number: 541-224-1170
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Mailing Address
DAN EASDALE
2311 NW VAN BUREN AVE APT 5
CORVALLIS, OR 97330-5393
Phone number: 541-224-1170
Copy
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