CLIFFORD S LANCE

COOS BAY, OR
NPI1407800097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  pa00028)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
-- CLIFFORD S LANCE PA
2699 N 17TH ST
COOS BAY, OR 97420-2134
Phone number: 541-266-3600
Mailing Address
-- CLIFFORD S LANCE PA
2699 N 17TH ST
COOS BAY, OR 97420-2134
Phone number: 541-266-3600
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