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1356602502
WILLIAM J TATUM
CORVALLIS, OR
NPI
1356602502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-06-05
Last Update Date
2012-06-05
Business Address
-- WILLIAM J TATUM
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- WILLIAM J TATUM
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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