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1013212489
LANCE RICHARD VANDERLOO
PORTLAND, OR
NPI
1013212489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IA 007388)
Enumeration Date
2011-01-17
Last Update Date
2015-01-28
Business Address
Dr. LANCE RICHARD VANDERLOO D.C.
2230 W BURNSIDE ST STE D
PORTLAND, OR 97210-3727
Phone number: 971-255-1922
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Mailing Address
Dr. LANCE RICHARD VANDERLOO D.C.
2230 W BURNSIDE ST STE D
PORTLAND, OR 97210-3727
Phone number: 971-255-1922
Copy
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