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1689080491
MICHAEL MCNICKLE
MCMINNVILLE, OR
NPI
1689080491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2014-07-02
Last Update Date
2014-07-02
Business Address
-- MICHAEL MCNICKLE
3026 NE NEWBY ST
MCMINNVILLE, OR 97128-9169
Phone number: 503-437-5761
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Mailing Address
-- MICHAEL MCNICKLE
3026 NE NEWBY ST
MCMINNVILLE, OR 97128-9169
Phone number: 503-437-5761
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