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Individual

MINDA MCCULLOUGH-YRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
1754 SW EASY ST, CORVALLIS, OR 97333-1762
(530) 632-2146
Mailing address
1754 SW EASY ST, CORVALLIS, OR 97333-1762
(530) 632-2146

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10169784
OR

Other

Enumeration date
08/26/2015
Last updated
08/26/2015
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