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1487189213
MIRANDA GATHRIGHT
LEBANON, OR
NPI
1487189213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-30
Last Update Date
2017-04-30
Business Address
-- MIRANDA GATHRIGHT
187 W C ST
LEBANON, OR 97355-3125
Phone number: 541-915-2679
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Mailing Address
-- MIRANDA GATHRIGHT
187 W C ST
LEBANON, OR 97355-3125
Phone number: 541-915-2679
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