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1619282241
IAN T KITTELSON
MEDFORD, OR
NPI
1619282241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9492)
Enumeration Date
2010-08-06
Last Update Date
2016-12-30
Business Address
-- IAN T KITTELSON DMD
1113 PROGRESS DR
MEDFORD, OR 97504-5201
Phone number: 541-535-6239
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Mailing Address
-- IAN T KITTELSON DMD
3617 S PACIFIC HWY
MEDFORD, OR 97501-8957
Phone number: 541-535-6239
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