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1770698102
DIRK G DEBROEKERT
EUGENE, OR
NPI
1770698102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PP00278)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
DIRK G DEBROEKERT PA-C
890 RIVER RD
EUGENE, OR 97404-3233
Phone number: 541-688-0674
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Mailing Address
DIRK G DEBROEKERT PA-C
28015 BRIGGS HILL RD
EUGENE, OR 97405-9747
Phone number: 541-687-8298
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