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1356816508
RUSSELL SHELDON MCMILLEN
MCMINNVILLE, OR
NPI
1356816508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
RUSSELL SHELDON MCMILLEN
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7527
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Mailing Address
RUSSELL SHELDON MCMILLEN
213 NE 10TH ST
MCMINNVILLE, OR 97128-4825
Phone number:
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