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1013465566
KRISTINA PETERSEN
BEAVERTON, OR
NPI
1013465566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H7310)
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
-- KRISTINA PETERSEN RDH
13000 SW 2ND ST
BEAVERTON, OR 97005-2615
Phone number: 503-259-5045
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Mailing Address
-- KRISTINA PETERSEN RDH
PO BOX 568
CORNELIUS, OR 97113-0568
Phone number: 503-352-8657
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