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1326483769
MASON CARL HAYCOCK
CLACKAMAS, OR
NPI
1326483769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
Enumeration Date
2013-04-29
Last Update Date
2013-04-29
Business Address
-- MASON CARL HAYCOCK CCP
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
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Mailing Address
-- MASON CARL HAYCOCK CCP
1237 GOOSE CREEK RD
WOODBURN, OR 97071-9682
Phone number: 559-303-8985
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