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Individual

MS. NYSSA RUTH PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
330 NE KIRBY ST, MCMINNVILLE, OR 97128-4301
(971) 901-1469
Mailing address
4580 NW UNIVERSITY PL APT 4, CORVALLIS, OR 97330-1669
(541) 223-1183

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/22/2021
Last updated
02/09/2022
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