MARK DETWEILER

EUGENE, OR
NPI1801024187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  13103)
Enumeration Date2009-06-25
Last Update Date2009-06-25
Business Address
-- MARK DETWEILER M.S., CCC-SLP
1500 W 12TH AVE
EUGENE, OR 97402-3705
Phone number: 541-284-4880
Mailing Address
-- MARK DETWEILER M.S., CCC-SLP
1500 W 12TH AVE
EUGENE, OR 97402-3705
Phone number: 541-284-4880
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