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1093118564
JUSTINE CARPENTER
BEND, OR
NPI
1093118564
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Former Name
JUSTINE LARSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 20803)
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
-- JUSTINE CARPENTER LMT
497 SW CENTURY DR SUITE 120
BEND, OR 97702-1167
Phone number: 541-480-1240
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Mailing Address
-- JUSTINE CARPENTER LMT
497 SW CENTURY DR SUITE 120
BEND, OR 97702-1167
Phone number: 541-480-1240
Copy
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