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1154721850
MIKHAIL GOVSHIEVICH
PORTLAND, OR
NPI
1154721850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR DTO10154441)
Enumeration Date
2014-08-29
Last Update Date
2014-09-19
Business Address
-- MIKHAIL GOVSHIEVICH LD
9045 SW BARBUR BLVD. SUIT 117
PORTLAND, OR 97219
Phone number: 503-380-7306
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Mailing Address
-- MIKHAIL GOVSHIEVICH LD
4901 PARKVIEW DR APT P
LAKE OSWEGO, OR 97035-4472
Phone number: 503-380-7306
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