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1689212664
MICHAEL MANKINS
ROSEBURG, OR
NPI
1689212664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-20
Last Update Date
2019-12-20
Business Address
MICHAEL MANKINS
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
MICHAEL MANKINS
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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