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1801929609
GARY M BALO
PORTLAND, OR
NPI
1801929609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 5480)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Mr. GARY M BALO RPH
4246 NE SANDY BLVD
PORTLAND, OR 97213-1432
Phone number: 503-287-1163
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Mailing Address
Mr. GARY M BALO RPH
4246 NE SANDY BLVD
PORTLAND, OR 97213-1432
Phone number: 503-287-1163
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