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1467585679
SUSAN CORREA MUKATIS
CORVALLIS, OR
NPI
1467585679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 7699)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Ms. SUSAN CORREA MUKATIS RPh
3517 NW SAMARITAN DR SUITE 201
CORVALLIS, OR 97330-3767
Phone number: 541-768-5185
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Mailing Address
Ms. SUSAN CORREA MUKATIS RPh
2851 NW MONTEREY PL
CORVALLIS, OR 97330-3435
Phone number: 541-758-2658
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