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1700284619
KENNETH LORD
GRESHAM, OR
NPI
1700284619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: OR HASP 10124821)
Enumeration Date
2014-12-09
Last Update Date
2015-10-13
Business Address
-- KENNETH LORD
1180 NE BURNSIDE RD
GRESHAM, OR 97030-5711
Phone number: 503-669-3061
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Mailing Address
-- KENNETH LORD
1180 NE BURNSIDE RD
GRESHAM, OR 97030-5711
Phone number: 503-669-3061
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