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1073756573
ANGELA ARDISS
PORTLAND, OR
NPI
1073756573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 2506ATI)
Enumeration Date
2009-04-14
Last Update Date
2012-12-04
Business Address
-- ANGELA ARDISS O.D.
14740 NW CORNELL RD STE 110
PORTLAND, OR 97229-5400
Phone number: 503-645-8002
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Mailing Address
-- ANGELA ARDISS O.D.
14740 NW CORNELL RD STE 110
PORTLAND, OR 97229-5400
Phone number: 503-645-8002
Copy
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