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1205613783
TIMOTHY JOSEPH LIEBERENZ
WHITE CITY, OR
NPI
1205613783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR ATI4707)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
DR. TIMOTHY JOSEPH LIEBERENZ OD
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
DR. TIMOTHY JOSEPH LIEBERENZ OD
PO BOX 1082
MERLIN, OR 97532-1082
Phone number: 541-279-4792
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