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1487041687
CARLY ANN MAYUMI CRIDER
LEBANON, OR
NPI
1487041687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR 193425)
Enumeration Date
2015-04-25
Last Update Date
2024-07-30
Business Address
CARLY ANN MAYUMI CRIDER DO
400 N SANTIAM HWY
LEBANON, OR 97355
Phone number: 541-451-6413
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Mailing Address
CARLY ANN MAYUMI CRIDER DO
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number:
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