ANDREW TYLER MEDLOCK

ROSEBURG, OR
NPI1407216260
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-03-07
Last Update Date2016-03-07
Business Address
-- ANDREW TYLER MEDLOCK
272 MEDICAL LOOP SUITE C
ROSEBURG, OR 97471
Phone number: 541-440-3532
Mailing Address
-- ANDREW TYLER MEDLOCK
1600 NW GARDEN VALLEY BLVD SUITE 110
ROSEBURG, OR 97471
Phone number: 541-440-3532
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