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Glenn Albert Fairall
Technician/Technologist in Albany, Oregon
NPI 1982169611

Glenn Albert Fairall is a Technician/Technologist based in Albany, OR. Glenn Albert Fairall practices in Albany, OR. The NPI Number for Glenn Albert Fairall is 1982169611 and holds a License No. 88193 (Oregon).

The current practice location address for Glenn Albert Fairall is 2532 Nw Ashley Dr, Albany, OR and can be reached out via phone at 541-979-1019. You can also correspond with Glenn Albert Fairall through the mailing address at PO BOX 741, ALBANY, OR - 97321-0252 (mailing address contact number: 541-979-1019).

Location: 2532 Nw Ashley Dr, Albany, OR, 97321-0252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982169611
Provider Name
Glenn Albert Fairall
Credential
Provider Entity Type
Individual
Gender
Male
Address
2532 Nw Ashley Dr, Albany, OR, 97321-0252
Phone Number
541-979-1019
Fax Number
Provider Enumeration Date
02/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2532 Nw Ashley Dr
City
Albany
State
Oregon
Zip
97321-1395
Phone Number
541-979-1019
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 741
City
Albany
State
Oregon
Zip
97321-0252
Phone Number
541-979-1019
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
88193 (Oregon)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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