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1225338197
WILLIS EUGENE CARMEN
PORTLAND, OR
NPI
1225338197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 6722)
Enumeration Date
2010-10-26
Last Update Date
2010-10-26
Business Address
Mr. WILLIS EUGENE CARMEN R.Ph.
3527 SE 122ND AVE
PORTLAND, OR 97236-3401
Phone number: 503-760-6688
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Mailing Address
Mr. WILLIS EUGENE CARMEN R.Ph.
1128 SW 10TH DR
GRESHAM, OR 97080-9679
Phone number: 503-667-6626
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