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1205054202
CHARLES WAYNE KORANDO
FLORENCE, OR
NPI
1205054202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR d6036)
Enumeration Date
2007-04-23
Last Update Date
2012-02-22
Business Address
Dr. CHARLES WAYNE KORANDO DDS
1705 22ND ST
FLORENCE, OR 97439
Phone number: 541-997-3111
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Mailing Address
Dr. CHARLES WAYNE KORANDO DDS
PO BOX 159
FLORENCE, OR 97439-0006
Phone number: 541-997-3111
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