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MR. MICHAEL BRYAN TRIPP SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
411 WASHINGTON AVE, COTTAGE GROVE, OR 97424-2060
(541) 554-7027
(541) 942-9849
Mailing address
411 WASHINGTON AVE, COTTAGE GROVE, OR 97424-2060
(541) 554-7027
(541) 942-9849

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11018
OR

Other

Enumeration date
01/29/2008
Last updated
01/29/2008
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