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1699198663
LILLIAN PETERSEN
FLORENCE, OR
NPI
1699198663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR DT DO 706283)
Enumeration Date
2014-01-28
Last Update Date
2014-09-23
Business Address
-- LILLIAN PETERSEN CDL, LD
524 LAUREL STREET
FLORENCE, OR 97439-0004
Phone number: 541-997-6054
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Mailing Address
-- LILLIAN PETERSEN CDL, LD
PO BOX 96
FLORENCE, OR 97439-0004
Phone number: 541-997-6054
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