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1083102248
ANTONINA KUTSAR
PORTLAND, OR
NPI
1083102248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 121171)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
ANTONINA KUTSAR
7201 N INTERSTATE AVE
PORTLAND, OR 97217-5523
Phone number: 503-286-6860
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Mailing Address
ANTONINA KUTSAR
8613 NE 97TH CT
VANCOUVER, WA 98662-4227
Phone number: 360-949-8409
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