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1063795003
KEVIN MICHAEL DENNIS
BEND, OR
NPI
1063795003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA156037)
Enumeration Date
2011-09-26
Last Update Date
2022-01-10
Business Address
KEVIN MICHAEL DENNIS PAC
1501 NE MEDICAL CENTER DR
BEND, OR 97701-6051
Phone number: 541-382-4900
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Mailing Address
KEVIN MICHAEL DENNIS PAC
PO BOX 6048
BEND, OR 97708-6048
Phone number: 541-382-4900
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