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1205387149
CHARLES DINGELDEIN
PORTLAND, OR
NPI
1205387149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR rph0014478)
Enumeration Date
2016-10-15
Last Update Date
2016-10-15
Business Address
-- CHARLES DINGELDEIN
4246 NE SANDY BLVD
PORTLAND, OR 97213-1432
Phone number: 503-287-1163
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Mailing Address
-- CHARLES DINGELDEIN
4246 NE SANDY BLVD
PORTLAND, OR 97213-1432
Phone number: 503-287-1163
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