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1750899035
SANTIAM MOBILE MEDICINE LLC
STAYTON, OR
NPI
1750899035
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Entity Type
Organization
Authorized Contact
CASEY LULAY
Member
503-507-5356
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2018-01-20
Last Update Date
2023-09-19
Business Address
SANTIAM MOBILE MEDICINE LLC
1881 W WASHINGTON ST
STAYTON, OR 97383-9511
Phone number: 503-507-5356
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Mailing Address
SANTIAM MOBILE MEDICINE LLC
1881 W WASHINGTON ST
STAYTON, OR 97383-9511
Phone number: 503-507-5356
Copy
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