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1396999744
GARY LEWELLYN
MEDFORD, OR
NPI
1396999744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D3764)
Enumeration Date
2008-11-12
Last Update Date
2008-11-12
Business Address
Dr. GARY LEWELLYN DMD
720 BENNETT AVE
MEDFORD, OR 97504-6722
Phone number: 541-772-8280
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Mailing Address
Dr. GARY LEWELLYN DMD
720 BENNETT AVE
MEDFORD, OR 97504-6722
Phone number: 541-772-8280
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