GLENN ALBERT FAIRALL

ALBANY, OR
NPI1982169611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156F00000X Technician/Technologist
(Licence: OR  88193)
Enumeration Date2019-02-06
Last Update Date2019-02-06
Business Address
GLENN ALBERT FAIRALL
2532 NW ASHLEY DR
ALBANY, OR 97321-1395
Phone number: 541-979-1019
Mailing Address
GLENN ALBERT FAIRALL
PO BOX 741
ALBANY, OR 97321-0252
Phone number: 541-979-1019
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