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1427150507
SCOTT J PINE
SALEM, OR
NPI
1427150507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: OR 17608)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
-- SCOTT J PINE
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 503-361-5400
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Mailing Address
-- SCOTT J PINE
2913 DOUGLAS AVE
NEWBERG, OR 97132-1415
Phone number: 503-538-2942
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