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1922076652
IVAN L FREEMAN
GRANTS PASS, OR
NPI
1922076652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D6833)
Enumeration Date
2006-03-09
Last Update Date
2007-09-05
Business Address
Dr. IVAN L FREEMAN D.D.S.
1201 NE 7TH ST SUITE A
GRANTS PASS, OR 97526-1451
Phone number: 541-474-4360
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Mailing Address
Dr. IVAN L FREEMAN D.D.S.
1418 NW HAWTHORNE AVE
GRANTS PASS, OR 97526-1214
Phone number: 541-474-9381
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