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1275857005
CARL BRENT VALENTINE
MILWAUKIE, OR
NPI
1275857005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2010-03-23
Last Update Date
2010-03-23
Business Address
-- CARL BRENT VALENTINE IDMT
4131 SE RIVER DR
MILWAUKIE, OR 97267-6801
Phone number: 503-786-1062
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Mailing Address
-- CARL BRENT VALENTINE IDMT
4131 SE RIVER DR
MILWAUKIE, OR 97267-6801
Phone number: 503-786-1062
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