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1376104505
GREGORY D FILLMORE
PORTLAND, OR
NPI
1376104505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 6007)
Enumeration Date
2019-06-27
Last Update Date
2021-09-15
Business Address
Dr. GREGORY D FILLMORE DC
736 SE 60TH AVE
PORTLAND, OR 97215-1906
Phone number: 971-308-9155
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Mailing Address
Dr. GREGORY D FILLMORE DC
736 SE 60TH AVE
PORTLAND, OR 97215-1906
Phone number: 971-308-9155
Copy
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