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1003082652
JONATHAN YANG
LAPINE, OR
NPI
1003082652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7823)
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
-- JONATHAN YANG DDS
16475 BLUEWOOD PL
LAPINE, OR 97739
Phone number: 541-536-0264
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Mailing Address
-- JONATHAN YANG DDS
PO BOX 2999 16475 BLUEWOOD PL
LA PINE, OR 97739-2999
Phone number: 541-536-0264
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