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Individual

REBECKA LANGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1846 SE HANKEL ST, DALLAS, OREGON 97338, DALLAS, OR 97338-9733
(503) 799-8650
Mailing address
1846 SE HANKEL ST, DALLAS, OREGON 97338, DALLAS, OR 97338
(503) 799-8650

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
OR

Other

Enumeration date
12/06/2022
Last updated
12/06/2022
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