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1003247743
BETHANY SMITH
WOODBURN, OR
NPI
1003247743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OR 20238)
Enumeration Date
2013-12-05
Last Update Date
2013-12-05
Business Address
-- BETHANY SMITH
559 GLATT CIR STE 1
WOODBURN, OR 97071-9675
Phone number: 503-981-4591
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Mailing Address
-- BETHANY SMITH
559 GLATT CIR STE 1
WOODBURN, OR 97071-9675
Phone number: 503-981-4591
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