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1922139054
SANDRA GILLGAM
PORTLAND, OR
NPI
1922139054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- SANDRA GILLGAM
11703 NE GLISAN ST
PORTLAND, OR 97220-2141
Phone number: 503-253-7839
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Mailing Address
-- SANDRA GILLGAM
11703 NE GLISAN ST
PORTLAND, OR 97220-2141
Phone number: 503-253-7839
Copy
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