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1962970590
MICOLE FOUST LACOUNTE
GRANTS PASS, OR
NPI
1962970590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247000000X Technician, Health Information
Enumeration Date
2018-11-13
Last Update Date
2019-05-06
Business Address
MICOLE FOUST LACOUNTE
806 NW 6TH ST
GRANTS PASS, OR 97526-1525
Phone number: 541-237-5067
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Mailing Address
MICOLE FOUST LACOUNTE
806 NW 6TH ST
GRANTS PASS, OR 97526-1525
Phone number:
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