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1366977027
LACEY ROYBAL
SALEM, OR
NPI
1366977027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR DO188595)
Enumeration Date
2017-05-01
Last Update Date
2021-11-10
Business Address
LACEY ROYBAL D.O.
1793 13TH ST SE
SALEM, OR 97302-2541
Phone number: 866-599-3376
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Mailing Address
LACEY ROYBAL D.O.
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-3737
Phone number: 541-768-4906
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