DMITRIY FLATO

GRESHAM, OR
NPI1225677248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201908396RN)
Enumeration Date2019-12-23
Last Update Date2019-12-23
Business Address
DMITRIY FLATO
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 971-344-6987
Mailing Address
DMITRIY FLATO
4101 NE DIVISION STREET, GRESHAM OR 97030
GRESHAM, OR 97030
Phone number: 971-344-6987
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