Kaitlyn Fallon

NPI #1225481120 in Cottage Grove, Oregon

Provider Information

NPI Number: 1225481120
Entity Type: Individual
Name: Kaitlyn Fallon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 15, 2016
Last Updated: Jul 15, 2016

Practice Location

Address: 107 CRESTVIEW TER
City: Cottage Grove
State: Oregon
ZIP Code: 97424-1799
Phone: (541) 404-0324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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