Dyllan E Mabou

NPI #1164301644 in Klamath Falls, Oregon

Provider Information

NPI Number: 1164301644
Entity Type: Individual
Name: Dyllan E Mabou
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Aug 29, 2025
Last Updated: Aug 29, 2025

Practice Location

Address: 3647 HIGHWAY 39
City: Klamath Falls
State: Oregon
ZIP Code: 97603-2612
Phone: (541) 884-5244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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