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Individual

MISS BETH STANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
6 W Q ST, SPRINGFIELD, OR 97477-2142
(541) 747-3841
Mailing address
24924 DECKER RD, CORVALLIS, OR 97333-9513
(541) 929-8328

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9856
OR

Other

Enumeration date
11/10/2008
Last updated
11/10/2008
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