CHRISTIAAN JOHANNES VAN VLIET

SALEM, OR
NPI1982715652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: WA  DO00002107)
Enumeration Date2006-08-31
Last Update Date2007-07-16
Business Address
Mr. CHRISTIAAN JOHANNES VAN VLIET LDO
5125 SKYLINE RD S
SALEM, OR 97306-9427
Phone number: 503-588-5996
Mailing Address
Mr. CHRISTIAAN JOHANNES VAN VLIET LDO
5125 SKYLINE RD S
SALEM, OR 97306-9427
Phone number: 503-588-5996
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