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1720502180
RUSLAN PEREDEREY
GRESHAM, OR
NPI
1720502180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA CH60760768)
Enumeration Date
2017-07-27
Last Update Date
2020-03-23
Business Address
RUSLAN PEREDEREY
3008 SW CHASTAIN AVE
GRESHAM, OR 97080-9613
Phone number: 503-572-2293
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Mailing Address
RUSLAN PEREDEREY
3008 SW CHASTAIN AVE
GRESHAM, OR 97080-9613
Phone number: 503-757-8529
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