CHARLES JOSEPH DEZORT

BEND, OR
NPI1114545787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2020-07-10
Last Update Date2020-07-10
Business Address
CHARLES JOSEPH DEZORT
63311 JAMISON ST
BEND, OR 97703-8288
Phone number: 541-322-7500
Mailing Address
CHARLES JOSEPH DEZORT
2577 NE COURTNEY DR
BEND, OR 97701-7752
Phone number: 541-322-7500
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