JEFFREY MYRON FORTY

CORVALLIS, OR
NPI1659582823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2007-05-26
Last Update Date2007-07-08
Business Address
Mr. JEFFREY MYRON FORTY
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-750-1121
Mailing Address
Mr. JEFFREY MYRON FORTY
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-750-1121
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