LUCILLE LEVINIA BECKER

SUTHERLIN, OR
NPI1770078685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-10193177)
Additional Taxonomies122400000X Denturist
(Licence: OR  DT-TMP-10192123)
Enumeration Date2018-06-25
Last Update Date2020-07-21
Business Address
Mrs. LUCILLE LEVINIA BECKER DT, DO
155 N UMPQUA ST
SUTHERLIN, OR 97479-9567
Phone number: 541-837-1717
Mailing Address
Mrs. LUCILLE LEVINIA BECKER DT, DO
PO BOX 8075
COBURG, OR 97408-1301
Phone number: