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Individual

MARGARET LYNN FANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
351 NE 2ND ST, BEND, OR 97701-5175
(541) 389-5610
Mailing address
351 NE 2ND ST, BEND, OR 97701-5175
(541) 389-5610

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7229
OR
183500000X
Pharmacist
PH00039963
WA

Other

Enumeration date
02/13/2012
Last updated
02/14/2012
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