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1558622936
JEV CLARK
SALEM, OR
NPI
1558622936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR D10561)
Enumeration Date
2012-06-01
Last Update Date
2021-10-18
Business Address
Dr. JEV CLARK
2266 MISSION ST SE
SALEM, OR 97302-1267
Phone number: 503-375-2000
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Mailing Address
Dr. JEV CLARK
2266 MISSION ST SE
SALEM, OR 97302-1267
Phone number:
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