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1053402511
MARY M SELF
SALEM, OR
NPI
1053402511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
-- MARY M SELF aboc
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 503-370-4851
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Mailing Address
-- MARY M SELF aboc
6200 TREEHOUSE RD
MONMOUTH, OR 97361-9443
Phone number: 503-831-3334
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