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1457720450
MARK ALAN BOURNE
FLORENCE, OR
NPI
1457720450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171WH0202X Contractor Home Modifications
Enumeration Date
2015-09-20
Last Update Date
2015-09-20
Business Address
MARK ALAN BOURNE
625 HIGHWAY 101 # 168
FLORENCE, OR 97439-7634
Phone number: 503-789-4374
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Mailing Address
MARK ALAN BOURNE
625 HIGHWAY 101 # 168
FLORENCE, OR 97439-7634
Phone number: 503-789-4374
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