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1609080191
WALTER JAMES LEATHERMAN
THE DALLES, OR
NPI
1609080191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 6732)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Mr. WALTER JAMES LEATHERMAN rph
1700 E 19TH ST
THE DALLES, OR 97058-3317
Phone number: 541-296-7526
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Mailing Address
Mr. WALTER JAMES LEATHERMAN rph
43005 E LARCH MOUNTAIN RD
CORBETT, OR 97019-8776
Phone number: 503-695-5103
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