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1043595903
EDWARD ESPINOZA
PORTLAND, OR
NPI
1043595903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR 160)
Enumeration Date
2011-10-11
Last Update Date
2011-10-11
Business Address
Mr. EDWARD ESPINOZA C.D.
206 NE 80TH AVE
PORTLAND, OR 97213-7016
Phone number: 503-252-9699
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Mailing Address
Mr. EDWARD ESPINOZA C.D.
206 NE 80TH AVE
PORTLAND, OR 97213-7016
Phone number: 503-252-9699
Copy
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