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1942228648
MARK A. GEORGE
GRESHAM, OR
NPI
1942228648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 2098T)
Enumeration Date
2006-07-18
Last Update Date
2011-01-25
Business Address
-- MARK A. GEORGE O.D.
22640 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 503-667-0441
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Mailing Address
-- MARK A. GEORGE O.D.
22640 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 503-667-0441
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