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1528122405
DANIEL ALBERT JENISCH
FOREST GROVE, OR
NPI
1528122405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 2056)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
Dr. DANIEL ALBERT JENISCH O.D
2701 MAIN ST APARTMENT # 91
FOREST GROVE, OR 97116-1449
Phone number: 503-357-6257
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Mailing Address
Dr. DANIEL ALBERT JENISCH O.D
2701 MAIN ST APARTMENT # 91
FOREST GROVE, OR 97116-1449
Phone number: 503-357-6257
Copy
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