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1336814896
KYLE EVAN BRINLEE
STAYTON, OR
NPI
1336814896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: OR 131952)
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
Mr. KYLE EVAN BRINLEE CST
1401 N 10TH AVE
STAYTON, OR 97383-1399
Phone number: 503-769-9100
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Mailing Address
Mr. KYLE EVAN BRINLEE CST
7630 6TH ST SE
TURNER, OR 97392-9532
Phone number: 503-586-8979
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