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1578877056
ELI RICHARDSON
FOREST GROVE, OR
NPI
1578877056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 3381ATI)
Enumeration Date
2010-07-27
Last Update Date
2012-02-29
Business Address
ELI RICHARDSON O.D.
2804 19TH AVE
FOREST GROVE, OR 97116-2625
Phone number: 503-357-2020
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Mailing Address
ELI RICHARDSON O.D.
PO BOX 847
FOREST GROVE, OR 97116-0847
Phone number: 503-357-2020
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