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1053605246
COLE R JOHNSON
SALEM, OR
NPI
1053605246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: OR D9527)
Enumeration Date
2011-06-05
Last Update Date
2017-01-27
Business Address
DR. COLE R JOHNSON DMD
2755 COMMERCIAL ST SE STE 200
SALEM, OR 97302-4991
Phone number: 503-967-6665
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Mailing Address
DR. COLE R JOHNSON DMD
2755 COMMERCIAL ST SE STE 200
SALEM, OR 97302-4991
Phone number: 503-967-6665
Copy
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