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1073615316
KRISTIN A BAZOR
BEAVERTON, OR
NPI
1073615316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H2588)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
Mrs. KRISTIN A BAZOR RDH
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3499
Phone number: 503-626-4148
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Mailing Address
Mrs. KRISTIN A BAZOR RDH
19881 SW GROVE LN
BEAVERTON, OR 97007
Phone number: 503-628-9115
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