IVAN RUDOLPH MINCH

ROSEBURG, OR
NPI1700143278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-04-20
Last Update Date2012-04-20
Business Address
-- IVAN RUDOLPH MINCH
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-464-6334
Mailing Address
-- IVAN RUDOLPH MINCH
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-464-6334
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