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1295873065
PAMELA ANN DERAITA
HARBOR, OR
NPI
1295873065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: OR HASP248590)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Mrs. PAMELA ANN DERAITA
97928 SHOPPING CENTER AVE
HARBOR, OR 97415-9412
Phone number: 541-469-4030
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Mailing Address
Mrs. PAMELA ANN DERAITA
PO BOX 2745 97928 SHOPPING CENTER AVENUE
HARBOR, OR 97415-0326
Phone number: 541-469-4030
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