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1538302344
KRYSTAL THOMAS SAMUEL
MCMINNVILLE, OR
NPI
1538302344
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Former Name
KRYSTAL SARA THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR DO172095)
Enumeration Date
2009-04-08
Last Update Date
2017-08-02
Business Address
-- KRYSTAL THOMAS SAMUEL DO
2700 SE STRATUS AVE SUITE 406
MCMINNVILLE, OR 97128-6255
Phone number: 503-435-1200
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Mailing Address
-- KRYSTAL THOMAS SAMUEL DO
2700 SE STRATUS AVE SUITE 406
MCMINNVILLE, OR 97128
Phone number: 503-435-1200
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