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1922414069
TERESA ODEN
GRANTS PASS, OR
NPI
1922414069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: OR 716051-91)
Enumeration Date
2014-07-09
Last Update Date
2014-07-09
Business Address
TERESA ODEN
307 SW G ST
GRANTS PASS, OR 97526-2417
Phone number: 541-476-8094
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Mailing Address
TERESA ODEN
307 SW G ST
GRANTS PASS, OR 97526-2417
Phone number: 541-476-8094
Copy
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