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1730100876
TONY GENDVILAS
TIGARD, OR
NPI
1730100876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 1689T)
Enumeration Date
2006-07-22
Last Update Date
2007-07-09
Business Address
Dr. TONY GENDVILAS O.D.
9499 SW WASHINGTON SQUARE RD
TIGARD, OR 97223-4448
Phone number: 503-968-5249
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Mailing Address
Dr. TONY GENDVILAS O.D.
PO BOX 629
WEST LINN, OR 97068-0629
Phone number: 503-631-8331
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