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1881771103
KARL JOHAN PFALZGRAFF
TIGARD, OR
NPI
1881771103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 114055)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Mr. KARL JOHAN PFALZGRAFF
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-684-9274
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Mailing Address
Mr. KARL JOHAN PFALZGRAFF
1316 MADISON ST
OREGON CITY, OR 97045-1461
Phone number: 503-650-1367
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