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1003822933
PENNY LEE JOHNSON
PORTLAND, OR
NPI
1003822933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR 0883)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Mrs. PENNY LEE JOHNSON R.D.H.
11281 SE STEVENS RD APT 203
PORTLAND, OR 97266-8314
Phone number: 503-481-8240
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Mailing Address
Mrs. PENNY LEE JOHNSON R.D.H.
11281 SE STEVENS RD APT 203
PORTLAND, OR 97266-8314
Phone number: 503-481-8240
Copy
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