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1811035389
JUSTIN DORMANDY
PORTLAND, OR
NPI
1811035389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: OR CPT-0001093)
Enumeration Date
2007-02-04
Last Update Date
2007-07-08
Business Address
JUSTIN DORMANDY CPHT
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
JUSTIN DORMANDY CPHT
1837 SW BINFORD LAKE PKWY
GRESHAM, OR 97080-9795
Phone number:
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