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1285629766
KEVIN REED PACKHAM
MILWAUKIE, OR
NPI
1285629766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7196)
Enumeration Date
2005-09-12
Last Update Date
2007-07-08
Business Address
-- KEVIN REED PACKHAM DMD
2403 SE MONROE ST SUITE C
MILWAUKIE, OR 97222-7646
Phone number: 503-654-5995
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Mailing Address
-- KEVIN REED PACKHAM DMD
2403 SE MONROE ST SUITE C
MILWAUKIE, OR 97222-7646
Phone number: 503-654-5995
Copy
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