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1316355357
JOHN NIVISON
PRINEVILLE, OR
NPI
1316355357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 5790)
Enumeration Date
2014-07-22
Last Update Date
2014-07-22
Business Address
-- JOHN NIVISON pharmacist
2091 NE 3RD ST
PRINEVILLE, OR 97754-8130
Phone number: 541-447-0395
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Mailing Address
-- JOHN NIVISON pharmacist
20452 PINE VISTA DR
BEND, OR 97702-9437
Phone number: 541-420-5329
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