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1053356535
KEITH W HARLESS
BEND, OR
NPI
1053356535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR MD08626)
Enumeration Date
2006-06-18
Last Update Date
2012-11-21
Business Address
-- KEITH W HARLESS MD
2275 NE DOCTORS DR SUITE 5
BEND, OR 97701-6324
Phone number: 541-706-7715
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Mailing Address
-- KEITH W HARLESS MD
PO BOX 5579
BEND, OR 97708-5579
Phone number: 541-706-7715
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