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1396354197
CAITLIN COURTNEY KONICEK
ROSEBURG, OR
NPI
1396354197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D11266)
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
CAITLIN COURTNEY KONICEK DDS
1100 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-1923
Phone number: 541-673-7437
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Mailing Address
CAITLIN COURTNEY KONICEK DDS
1100 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-1923
Phone number: 541-673-7437
Copy
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