TAKAYO FACKRELL

EUGENE, OR
NPI1609287994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  12167)
Enumeration Date2014-05-08
Last Update Date2014-05-13
Business Address
-- TAKAYO FACKRELL
1634 JEAN CT
EUGENE, OR 97402-3006
Phone number: 541-543-1548
Mailing Address
-- TAKAYO FACKRELL
1634 JEAN CT
EUGENE, OR 97402-3006
Phone number: 541-543-1548
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