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1578678983
JERRY WAYNE LEONARD
PORTLAND, OR
NPI
1578678983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR OR5193)
Enumeration Date
2006-08-19
Last Update Date
2023-02-22
Business Address
Dr. JERRY WAYNE LEONARD D.MD.
2614 NE 22ND AVE
PORTLAND, OR 97212-4816
Phone number: 503-284-8114
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Mailing Address
Dr. JERRY WAYNE LEONARD D.MD.
2614 NE 22ND AVE
PORTLAND, OR 97212-4816
Phone number: 503-284-8114
Copy
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