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1811298870
GREGORY ALLEN LARA
KLAMATH FALLS, OR
NPI
1811298870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-11-08
Last Update Date
2010-11-08
Business Address
MR. GREGORY ALLEN LARA
3314 VANDENBERG RD
KLAMATH FALLS, OR 97603-3730
Phone number: 541-882-7291
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Mailing Address
MR. GREGORY ALLEN LARA
3314 VANDENBERG RD
KLAMATH FALLS, OR 97603-3730
Phone number: 541-882-7291
Copy
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