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1104229004
JUSTIN WADE DEAN
PORTLAND, OR
NPI
1104229004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 5589)
Enumeration Date
2014-10-06
Last Update Date
2014-10-06
Business Address
-- JUSTIN WADE DEAN D.C.
3942 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5242
Phone number: 503-235-5484
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Mailing Address
-- JUSTIN WADE DEAN D.C.
2224 NE 142ND AVE
PORTLAND, OR 97230-3920
Phone number: 503-995-3874
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