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1043874696
MODERN NOSE CLINIC LLC
SALEM, OR
NPI
1043874696
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Entity Type
Organization
Authorized Contact
DOUGLAS SKARADA
Medical Director
503-584-1174
Organization Subpart ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
MODERN NOSE CLINIC LLC
340 VISTA AVE SE STE 100
SALEM, OR 97302-4546
Phone number: 503-584-1174
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Mailing Address
MODERN NOSE CLINIC LLC
340 VISTA AVE SE STE 100
SALEM, OR 97302-4546
Phone number: 503-584-1174
Copy
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