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1174115026
LARRY ALLEN PADDOCK
MCMINNVILLE, OR
NPI
1174115026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
Mr. LARRY ALLEN PADDOCK CSFA
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128-6239
Phone number: 503-435-6580
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Mailing Address
Mr. LARRY ALLEN PADDOCK CSFA
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128-6239
Phone number: 503-435-6580
Copy