JACK R ELVIN

ALBANY, OR
NPI1932259397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-609564)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
-- JACK R ELVIN Denturist
1113 HILL ST SE
ALBANY, OR 97322-3295
Phone number: 541-928-1955
Mailing Address
-- JACK R ELVIN Denturist
1645 9TH AVE SE #286
ALBANY, OR 97322-4872
Phone number: 541-928-1955
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