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1073588562
NEIL MARION WALLE
KLAMATH FALLS, OR
NPI
1073588562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: OR D6751)
Enumeration Date
2006-02-20
Last Update Date
2007-07-08
Business Address
DR. NEIL MARION WALLE D.D.S., M.S.
808 MAIN ST
KLAMATH FALLS, OR 97601-6012
Phone number: 541-884-8668
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Mailing Address
DR. NEIL MARION WALLE D.D.S., M.S.
808 MAIN ST
KLAMATH FALLS, OR 97601-6012
Phone number: 541-884-8668
Copy
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