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1801024187
MARK DETWEILER
EUGENE, OR
NPI
1801024187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 13103)
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
-- MARK DETWEILER M.S., CCC-SLP
1500 W 12TH AVE
EUGENE, OR 97402-3705
Phone number: 541-284-4880
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Mailing Address
-- MARK DETWEILER M.S., CCC-SLP
1500 W 12TH AVE
EUGENE, OR 97402-3705
Phone number: 541-284-4880
Copy
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