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1730366998
MICHAEL BRYAN TRIPP
COTTAGE GROVE, OR
NPI
1730366998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OR 11018)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
Mr. MICHAEL BRYAN TRIPP lmt
411 WASHINGTON AVE
COTTAGE GROVE, OR 97424-2060
Phone number: 541-554-7027
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Mailing Address
Mr. MICHAEL BRYAN TRIPP lmt
411 WASHINGTON AVE
COTTAGE GROVE, OR 97424-2060
Phone number: 541-554-7027
Copy
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