MOUSSA OMIDVAR

LEBANON, OR
NPI1639672678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
MOUSSA OMIDVAR
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0200
Mailing Address
MOUSSA OMIDVAR
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0200
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