DEVAN ROBERT LEAGUE

BAKER CITY, OR
NPI1750130290
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  pending)
Enumeration Date2024-05-16
Last Update Date2024-05-16
Business Address
DEVAN ROBERT LEAGUE
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
Mailing Address
DEVAN ROBERT LEAGUE
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400