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Individual

EMILY RAYLYNN BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1751 NE FREEMONT AVE, ROSEBURG, OR 97470-3224
(458) 803-8349
Mailing address
1751 NE FREEMONT AVE, ROSEBURG, OR 97470-3224
(458) 803-8349

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
OR

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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