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1154005403
JONATHAN MARQUETT
PORTLAND, OR
NPI
1154005403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR ATI4679)
Enumeration Date
2023-06-14
Last Update Date
2024-08-01
Business Address
JONATHAN MARQUETT OD
10819 SE STARK ST
PORTLAND, OR 97216-3161
Phone number: 503-255-2291
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Mailing Address
JONATHAN MARQUETT OD
10819 SE STARK ST
PORTLAND, OR 97216-3161
Phone number: 503-255-2291
Copy
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