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1821712118
IDEAL OPTION PLLC
SPRINGFIELD, OR
NPI
1821712118
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Entity Type
Organization
Authorized Contact
BRIAN JEFFERSON DAWSON
Cmo
509-222-1275
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-09-29
Last Update Date
2023-08-31
Business Address
IDEAL OPTION PLLC
3831 MAIN ST STE 108
SPRINGFIELD, OR 97478-5801
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION PLLC
5615 DUNBARTON AVE
PASCO, WA 99301-8216
Phone number: 509-570-9302
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