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1023769643
JUSTINE E WALSTON
CLACKAMAS, OR
NPI
1023769643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 122616)
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
Mrs. JUSTINE E WALSTON
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 800-813-2000
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Mailing Address
Mrs. JUSTINE E WALSTON
1352 NW ST
ESTACADA, OR 97023
Phone number: 509-756-6999
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