PHILIP JERRELL MENAGH

CORVALLIS, OR
NPI1922151778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
PHILIP JERRELL MENAGH
1330 NW 11TH ST
CORVALLIS, OR 97330-4619
Phone number: 503-544-1613
Mailing Address
PHILIP JERRELL MENAGH
1330 NW 11TH ST
CORVALLIS, OR 97330-4619
Phone number: 503-544-1613
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