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Individual

MR. KYLE EVAN BRINLEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST

Contact information

Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1399
(503) 769-9100
Mailing address
7630 6TH ST SE, TURNER, OR 97392-9532
(503) 586-8979

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
131952
OR

Other

Enumeration date
08/16/2021
Last updated
08/16/2021
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