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Individual

LINDA LEE GLEESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801
(541) 278-7505
(541) 278-7572
Mailing address
307 C AVE, LA GRANDE, OR 97850-1136
(541) 963-0496
(541) 963-0278

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0006700
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171037
OR
Enumeration date
01/29/2010
Last updated
01/29/2010
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