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1205829421
GEORGE RICHARD NELSON
PORTLAND, OR
NPI
1205829421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 1189T)
Enumeration Date
2005-08-23
Last Update Date
2007-07-08
Business Address
Dr. GEORGE RICHARD NELSON OD
611 SW BROADWAY
PORTLAND, OR 97205-3402
Phone number: 503-227-5949
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Mailing Address
Dr. GEORGE RICHARD NELSON OD
611 SW BROADWAY
PORTLAND, OR 97205-3402
Phone number: 503-227-5949
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