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1902906076
TIMOTHY J LAND
ROSEBURG, OR
NPI
1902906076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 6027)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
-- TIMOTHY J LAND
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97470-6523
Phone number: 541-440-1000
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Mailing Address
-- TIMOTHY J LAND
164 NW BRENT CT
ROSEBURG, OR 97470-6000
Phone number:
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