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Individual

MR. MARVIN D. PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
MERLE WEST MEDICAL CENTER, 2865 DAGGETT ST, KLAMATH FALLS, OR 97601
(541) 883-6263
(541) 883-6216
Mailing address
1936 N. ELDORADO AVE., KLAMATH FALLS, OR 97601
(541) 882-8158

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5617
OR

Other

Enumeration date
08/07/2006
Last updated
07/08/2007
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