Individual
MRS. SHAI LYNN MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CAMPBELL ST, BAKER CITY, OR 97814-2212
(541) 523-0607
(541) 523-0589
Mailing address
2747 1ST ST, BAKER CITY, OR 97814-2008
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0003908
OR
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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