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1407819428
MASON PAUL BRUNETTE
BEAVERTON, OR
NPI
1407819428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Mr. MASON PAUL BRUNETTE ATC
14925 SW OPAL DR
BEAVERTON, OR 97007-8787
Phone number: 503-799-4315
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Mailing Address
Mr. MASON PAUL BRUNETTE ATC
14925 SW OPAL DR
BEAVERTON, OR 97007-8787
Phone number: 503-799-4315
Copy
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