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1528269370
STEPHEN EARL WALDRAM
PORTLAND, OR
NPI
1528269370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR OR 5135)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN EARL WALDRAM DMD
3503 N LOMBARD ST
PORTLAND, OR 97217
Phone number: 503-283-1198
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Mailing Address
Dr. STEPHEN EARL WALDRAM DMD
3503 N LOMBARD ST
PORTLAND, OR 97217
Phone number: 503-283-1198
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