EMERSON GEORGE SQUIEMPHEN

WARM SPRINGS, OR
NPI1861690729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
Enumeration Date2007-07-03
Last Update Date2007-07-08
Business Address
Mr. EMERSON GEORGE SQUIEMPHEN
1270 KOTNUM ROAD
WARM SPRINGS, OR 97761
Phone number: 541-553-1196
Mailing Address
Mr. EMERSON GEORGE SQUIEMPHEN
PO BOX 1209
WARM SPRINGS, OR 97761-1209
Phone number: 541-553-1196