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1730300823
DEWAYNE MAURICE BREMER
NEWPORT, OR
NPI
1730300823
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Professional Name
DEWAYNE MAURICE BREMER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR 0516733789)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mr. DEWAYNE MAURICE BREMER
160 NE 6TH ST
NEWPORT, OR 97365-3131
Phone number: 541-265-8200
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Mailing Address
Mr. DEWAYNE MAURICE BREMER
160 NE 6TH ST
NEWPORT, OR 97365-3131
Phone number: 541-265-8200
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