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1578035168
DAVID GRAHAM MARTIN
PORTLAND, OR
NPI
1578035168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 403731)
Enumeration Date
2018-12-20
Last Update Date
2018-12-20
Business Address
DAVID GRAHAM MARTIN
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
DAVID GRAHAM MARTIN
110 JUBILEE CIR
BONAIRE, GA 31005-4001
Phone number: 224-203-0866
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