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Organization

AETNIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEREMY E GILHOUSEN (GENERAL PARTNER)
(503) 347-9525
Entity
Organization

Contact information

Practice address
1203 4TH ST, TILLAMOOK, OR 97141-3419
(503) 347-9525
Mailing address
1203 4TH ST, TILLAMOOK, OR 97141-3419
(503) 347-9525

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
08/20/2009
Last updated
08/20/2009
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