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1407836489
LARRY STEVEN BLANK
SALEM, OR
NPI
1407836489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 9431)
Enumeration Date
2006-01-18
Last Update Date
2007-07-08
Business Address
Mr. LARRY STEVEN BLANK RPh
1 WESTERN OREGON SERVICE UNIT CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305-1111
Phone number: 503-304-7600
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Mailing Address
Mr. LARRY STEVEN BLANK RPh
131 NW 20TH ST STE D
NEWPORT, OR 97365
Phone number: 503-304-7600
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