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Individual

BRADY I VERNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
777 NW 9TH ST, CORVALLIS, OR 97330-6169
(541) 768-5850
Mailing address
777 NW 9TH ST, CORVALLIS, OR 97330-6169
(541) 768-5850

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
OR

Other

Enumeration date
09/07/2018
Last updated
09/07/2018
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