KEVIN M TATLOCK

ONTARIO, OR
NPI1649381062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-854277)
Enumeration Date2006-08-31
Last Update Date2007-07-09
Business Address
Mr. KEVIN M TATLOCK L.D.
473 SW 12TH ST
ONTARIO, OR 97914-3201
Phone number: 541-889-3282
Mailing Address
Mr. KEVIN M TATLOCK L.D.
473 SW 12TH ST
ONTARIO, OR 97914-3201
Phone number: 541-889-3282
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