ERIC JAMES FASTH

MCMINNVILLE, OR
NPI1972002665
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-02-08
Last Update Date2018-02-08
Business Address
ERIC JAMES FASTH
190 SW BRUMBACK ST UNIT 2035
MCMINNVILLE, OR 97128-6899
Phone number: 208-943-1864
Mailing Address
ERIC JAMES FASTH
664 SW TAFT ST
MCMINNVILLE, OR 97128-6628
Phone number:
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