Individual
GRADY PAUL BUNCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ELECTROLOGIST
Contact information
Practice address
2525 CAL YOUNG RD FL 3, EUGENE, OR 97401-6477
(541) 852-6182
Mailing address
PO BOX 115, HARRISBURG, OR 97446-0115
(541) 852-6182
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
BAP-E-10195171
OR
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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