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1073026621
NATOSHA L BANNISTER
PORTLAND, OR
NPI
1073026621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
NATOSHA L BANNISTER
1314 NE GRAND AVE
PORTLAND, OR 97232-1127
Phone number: 503-280-2877
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Mailing Address
NATOSHA L BANNISTER
1314 NE GRAND AVE
PORTLAND, OR 97232-1127
Phone number: 503-280-2877
Copy
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