JULIE KOLSTAD CLARK

ROSEBURG, OR
NPI1609589837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-TMP-10228509)
Enumeration Date2023-01-03
Last Update Date2023-01-03
Business Address
JULIE KOLSTAD CLARK
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
Mailing Address
JULIE KOLSTAD CLARK
847 SE BLAKELEY AVE
ROSEBURG, OR 97470-4828
Phone number: 541-817-2181
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