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Individual

ALLAN S. JIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801
(541) 966-9830
Mailing address
1903 SW VISTA PL, PENDLETON, OR 97801-4236
(541) 276-8352

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
27339
CA
183500000X
Pharmacist
Primary
9980
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165441
OR
Enumeration date
08/10/2006
Last updated
07/09/2007
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