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1346297793
JOSEPH LOUIS PETRUSEK
LA GRANDE, OR
NPI
1346297793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: OR MD09444)
Enumeration Date
2006-05-30
Last Update Date
2020-09-24
Business Address
DR. JOSEPH LOUIS PETRUSEK M.D., P.C.
710 SUNSET DR STE. D
LA GRANDE, OR 97850-1200
Phone number: 541-963-8643
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Mailing Address
DR. JOSEPH LOUIS PETRUSEK M.D., P.C.
PO BOX 1123
LA GRANDE, OR 97850-6123
Phone number: 541-963-8643
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