LAWRENCE BOONE

STAYTON, OR
NPI1427679778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: AZ  1315)
Enumeration Date2020-04-28
Last Update Date2020-04-28
Business Address
Mr. LAWRENCE BOONE CSA
1401 N 10TH AVE
STAYTON, OR 97383-1311
Phone number: 503-769-9314
Mailing Address
Mr. LAWRENCE BOONE CSA
2844 HOOVER AVE NW
SALEM, OR 97304-3789
Phone number: 410-733-2209
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