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1770672156
JACK ALAN HEMELSTRAND
GRESHAM, OR
NPI
1770672156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D8153)
Enumeration Date
2006-10-12
Last Update Date
2015-05-27
Business Address
-- JACK ALAN HEMELSTRAND DMD
60 NW 2ND ST
GRESHAM, OR 97030-7222
Phone number: 503-665-3116
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Mailing Address
-- JACK ALAN HEMELSTRAND DMD
60 NW 2ND ST
GRESHAM, OR 97030-7222
Phone number: 503-665-3116
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