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1063069300
IDEAL OPTION PLLC
SALEM, OR
NPI
1063069300
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Entity Type
Organization
Authorized Contact
BRIAN JEFFERSON DAWSON
Cmo
509-222-1275
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-08-21
Last Update Date
2023-08-30
Business Address
IDEAL OPTION PLLC
863 LIBERTY ST NE
SALEM, OR 97301-2451
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION PLLC
5615 DUNBARTON AVE
PASCO, WA 99301-8216
Phone number: 877-522-1275
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