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1578671574
DONALD JEROME LANAHAN
GRANTS PASS, OR
NPI
1578671574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D6804)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Dr. DONALD JEROME LANAHAN DMD
824 NE A ST
GRANTS PASS, OR 97526-2212
Phone number: 541-476-4583
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Mailing Address
Dr. DONALD JEROME LANAHAN DMD
824 NE A ST
GRANTS PASS, OR 97526-2212
Phone number: 541-476-4583
Copy
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