ISMAEL C TELLEZ

LEBANON, OR
NPI1578705166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2009-03-30
Last Update Date2009-03-30
Business Address
-- ISMAEL C TELLEZ
55 TWIN OAKS AVE STE A1
LEBANON, OR 97355-2805
Phone number: 541-451-6920
Mailing Address
-- ISMAEL C TELLEZ
PO BOX 579
CORVALLIS, OR 97339-0579
Phone number: 541-451-6920
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