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1922151778
PHILIP JERRELL MENAGH
CORVALLIS, OR
NPI
1922151778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- PHILIP JERRELL MENAGH
1330 NW 11TH ST
CORVALLIS, OR 97330-4619
Phone number: 503-544-1613
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Mailing Address
-- PHILIP JERRELL MENAGH
1330 NW 11TH ST
CORVALLIS, OR 97330-4619
Phone number: 503-544-1613
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