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1821503293
CALVIN DANIEL SMITH
EUGENE, OR
NPI
1821503293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR DT-DO-10186888)
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
MR. CALVIN DANIEL SMITH
65 IRVING RD
EUGENE, OR 97404
Phone number: 541-514-7691
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Mailing Address
MR. CALVIN DANIEL SMITH
4837 SCENIC DR
EUGENE, OR 97404
Phone number: 541-514-7691
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