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1992989974
KENNETH RAY WELLS
CLACKAMAS, OR
NPI
1992989974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 5787)
Enumeration Date
2007-12-26
Last Update Date
2007-12-26
Business Address
Mr. KENNETH RAY WELLS RPh
16300 SE EVELYN ST
CLACKAMAS, OR 97015-9515
Phone number: 503-557-4238
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Mailing Address
Mr. KENNETH RAY WELLS RPh
16300 SE EVELYN ST
CLACKAMAS, OR 97015-9515
Phone number: 503-557-4238
Copy
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