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1336607142
ALEX CHARLES ANDERSON
LEBANON, OR
NPI
1336607142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
ALEX CHARLES ANDERSON
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 509-939-9846
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Mailing Address
ALEX CHARLES ANDERSON
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 509-939-9846
Copy
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