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1023215381
PERRY LEE FISCUS
RAINIER, OR
NPI
1023215381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D5518)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Dr. PERRY LEE FISCUS DMD
101 W 5TH ST
RAINIER, OR 97048-2634
Phone number: 503-556-3744
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Mailing Address
Dr. PERRY LEE FISCUS DMD
101 W 5TH ST PO BOX 789
RAINIER, OR 97048-2634
Phone number: 503-556-3744
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