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1184744351
MICHAEL VINCENT MESA
TIGARD, OR
NPI
1184744351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: OR DO21359)
Enumeration Date
2007-03-30
Last Update Date
2008-05-22
Business Address
Dr. MICHAEL VINCENT MESA DO
8192 SW DURHAM RD
TIGARD, OR 97224-7315
Phone number: 503-257-5568
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Mailing Address
Dr. MICHAEL VINCENT MESA DO
8192 SW DURHAM RD
TIGARD, OR 97224-7315
Phone number: 503-257-5568
Copy
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