JONATHAN DAVID BETTENCOURT

LEBANON, OR
NPI1689334187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-12-23
Last Update Date2021-12-23
Business Address
JONATHAN DAVID BETTENCOURT
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
Mailing Address
JONATHAN DAVID BETTENCOURT
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
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