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1619647583
ELLYSE LOOK
ROSEBURG, OR
NPI
1619647583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D11539)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
ELLYSE LOOK DMD
1729 W HARVARD AVE STE 1
ROSEBURG, OR 97471-2795
Phone number: 541-673-0131
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Mailing Address
ELLYSE LOOK DMD
1729 W HARVARD AVE STE 1
ROSEBURG, OR 97471-2795
Phone number:
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