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1366801243
DIANE BURGESS
BEND, OR
NPI
1366801243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2016-02-19
Last Update Date
2016-02-19
Business Address
-- DIANE BURGESS
2763 NE ALDRICH AVE SAME
BEND, OR 97701-9585
Phone number: 541-238-5216
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Mailing Address
-- DIANE BURGESS
2763 NE ALDRICH AVE SAME
BEND, OR 97701-9585
Phone number: 541-238-5216
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