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1093742041
PAUL DENNIS WACEK
SALEM, OR
NPI
1093742041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA01087)
Enumeration Date
2006-06-26
Last Update Date
2015-06-18
Business Address
Mr. PAUL DENNIS WACEK PAC
875 OAK ST SE SUITE 5020
SALEM, OR 97301-3975
Phone number: 503-371-4044
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Mailing Address
Mr. PAUL DENNIS WACEK PAC
847 NE 19TH AVE SUITE 300
PORTLAND, OR 97232-2684
Phone number: 503-963-2801
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