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1770613184
SHANNON WICKLUND
HEPPNER, OR
NPI
1770613184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: OR T-0008894)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- SHANNON WICKLUND
217 N. MAIN STR
HEPPNER, OR 97836-0427
Phone number: 541-676-9158
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Mailing Address
-- SHANNON WICKLUND
PO BOX 296
HEPPNER, OR 97836-0296
Phone number: 541-676-5259
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