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Individual

ANDREW LYNN TIGNOR-GRILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MINISTRY

Contact information

Practice address
777 STANTON BLVD # 10612992, ONTARIO, OR 97914-8335
(971) 264-0314
Mailing address
18065 SE LAMPER CT, SANDY, OR 97055-8301
(971) 264-0314

Taxonomy

Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
HONORARY
OR

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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