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1912540741
SIBO TESTING CENTER, LLC
PORTLAND, OR
NPI
1912540741
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Entity Type
Organization
Authorized Contact
CRANE J HOLMES
Owner
971-266-8383
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
SIBO TESTING CENTER, LLC
1820 SW VERMONT ST STE G
PORTLAND, OR 97219-1945
Phone number: 971-266-8383
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Mailing Address
SIBO TESTING CENTER, LLC
1820 SW VERMONT ST STE G
PORTLAND, OR 97219-1945
Phone number:
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