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Individual

MYLENE ENID ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
THW

Contact information

Practice address
1005 NW SPRINGHILL DR, ALBANY, OR 97321-1748
(352) 874-5803
Mailing address
911 E GRANT ST, LEBANON, OR 97355-4400
(352) 874-5803

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW1507
OR

Other

Enumeration date
12/20/2016
Last updated
12/20/2016
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