FALON NICOLE POUREETEZADI

GRESHAM, OR
NPI1013309038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  120537)
Enumeration Date2015-02-27
Last Update Date2015-02-27
Business Address
-- FALON NICOLE POUREETEZADI EFDA
360 NW BURNSIDE RD
GRESHAM, OR 97030-3852
Phone number: 503-667-7480
Mailing Address
-- FALON NICOLE POUREETEZADI EFDA
900 SE ARROW CREEK LN
GRESHAM, OR 97080-1981
Phone number: 503-201-0146
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