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1669882494
ZACHARY J LAND
ROSEBURG, OR
NPI
1669882494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-01
Last Update Date
2015-05-18
Business Address
-- ZACHARY J LAND QMHA, BS
337 FOWLER
ROSEBURG, OR 97470
Phone number: 541-440-3532
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Mailing Address
-- ZACHARY J LAND QMHA, BS
272 MEDICAL LOOP SUITE E
ROSEBURG, OR 97471
Phone number: 541-440-3532
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