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1609902881
JOHN CARL BUSEY
SALEM, OR
NPI
1609902881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122400000X Denturist
(Licence: OR DT-DO-740446)
Enumeration Date
2007-02-24
Last Update Date
2017-01-17
Business Address
Mr. JOHN CARL BUSEY LD
758 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-364-8265
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Mailing Address
Mr. JOHN CARL BUSEY LD
758 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-364-8265
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