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1467456061
ROBERT EARL TIBOLT
SALEM, OR
NPI
1467456061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: OR MD16218)
Enumeration Date
2005-06-10
Last Update Date
2007-11-01
Business Address
Dr. ROBERT EARL TIBOLT MD
655 MEDICAL CENTER DR NE
SALEM, OR 97301-2751
Phone number: 503-581-5287
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Mailing Address
Dr. ROBERT EARL TIBOLT MD
655 MEDICAL CENTER DR NE
SALEM, OR 97301-2751
Phone number: 503-581-5287
Copy
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