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Individual

DR. ROSALYNN JANE MUMPOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1290 GEARY ST SE, ALBANY, OR 97322-6833
(541) 971-4095
Mailing address
1290 GEARY ST SE, ALBANY, OR 97322-6833

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11131
OR
1223G0001X
General Practice Dentistry
D11131
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/16/2019
Last updated
08/21/2019
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