Julie Kolstad Clark
Julie Kolstad Clark is a Denturist in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
150 NE Kenneth Ford DrRoseburg, OR 97470-1042
Phone: (541) 672-9596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Denturist (primary) | Taxonomy 122400000X · Licence DT-TMP-10228509 (OR) |
|---|
Record details
| NPI number | 1609589837 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2023 |
| Last updated in NPPES | January 3, 2023 |
| Certification date | January 3, 2023 |
| Mailing address | 847 Se Blakeley Ave, Roseburg, OR 97470-4828 |
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Aaron Nicholas Fullwiler, LD
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Richelle Gix
150 NE Kenneth Ford Dr, Roseburg, OR 97470-1042 · (541) 672-9596
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Eduardo Ramirez, LD
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