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1326380601
BRENT A JEFFERIES
MOLALLA, OR
NPI
1326380601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0011139)
Enumeration Date
2013-03-25
Last Update Date
2013-03-25
Business Address
Mr. BRENT A JEFFERIES RPh
103 ROBBINS ST
MOLALLA, OR 97038-8141
Phone number: 503-829-9111
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Mailing Address
Mr. BRENT A JEFFERIES RPh
916 W EVERGREEN BLVD
VANCOUVER, WA 98660-3035
Phone number: 360-213-2236
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