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1912990839
IGOR SHISHKIN
GRANTS PASS, OR
NPI
1912990839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D6927)
Enumeration Date
2005-08-25
Last Update Date
2007-07-09
Business Address
Dr. IGOR SHISHKIN DDS
934 NE 8TH ST
GRANTS PASS, OR 97526-1641
Phone number: 541-471-7062
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Mailing Address
Dr. IGOR SHISHKIN DDS
934 NE 8TH ST
GRANTS PASS, OR 97526-1641
Phone number: 541-471-7062
Copy
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