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Individual

SUSAN MCKERRALL-FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2490 N HIGHWAY 99W, MCMINNVILLE, OR 97128-9204
(503) 435-3125
(503) 435-3128
Mailing address
2490 N HIGHWAY 99W, MCMINNVILLE, OR 97128-9204
(503) 435-3125
(503) 435-3128

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10867
OR

Other

Enumeration date
11/05/2010
Last updated
11/05/2010
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