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1588805311
EUGENE OWEN KELLEY
PORTLAND, OR
NPI
1588805311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR D3452)
Enumeration Date
2009-03-06
Last Update Date
2009-03-06
Business Address
-- EUGENE OWEN KELLEY DMD
611 SW CAMPUS DR
PORTLAND, OR 97239-3001
Phone number: 503-494-0292
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Mailing Address
-- EUGENE OWEN KELLEY DMD
611 SW CAMPUS DR
PORTLAND, OR 97239-3001
Phone number: 503-494-0292
Copy
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