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1598741860
BRYAN LEE CANWELL
PENDLETON, OR
NPI
1598741860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA157064)
Enumeration Date
2005-12-19
Last Update Date
2020-08-12
Business Address
Mr. BRYAN LEE CANWELL PA-C
46314 TIMINE WAY
PENDLETON, OR 97801
Phone number: 541-966-9830
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Mailing Address
Mr. BRYAN LEE CANWELL PA-C
P.O. BOX 160
PENDLETON, OR 97801
Phone number: 541-966-9830
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