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1063771137
TRACI L JOHNSON
SALEM, OR
NPI
1063771137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2012-05-10
Last Update Date
2012-05-10
Business Address
MS. TRACI L JOHNSON EFDA
2300 LANCASTER DR NE
SALEM, OR 97305-1223
Phone number: 503-370-4843
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Mailing Address
MS. TRACI L JOHNSON EFDA
2300 LANCASTER DR NE
SALEM, OR 97305-1223
Phone number: 503-370-4843
Copy
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