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1720823818
ISAIAH PRATT
LEBANON, OR
NPI
1720823818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
ISAIAH PRATT
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0200
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Mailing Address
ISAIAH PRATT
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0200
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