MARK JARED FAST

SALEM, OR
NPI1831173590
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OR  2986ATI)
Enumeration Date2005-12-05
Last Update Date2016-10-13
Business Address
Dr. MARK JARED FAST O.D.
3816 CENTER ST NE
SALEM, OR 97301-2905
Phone number: 503-588-5513
Mailing Address
Dr. MARK JARED FAST O.D.
3816 CENTER ST NE
SALEM, OR 97301-2905
Phone number: 503-588-5513
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