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1093848798
PAMELA JO POUL
MOLALLA, OR
NPI
1093848798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR A7688)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Ms. PAMELA JO POUL EFDA
1063 MOUNTAIN VIEW LN
MOLALLA, OR 97038-7375
Phone number: 503-829-5075
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Mailing Address
Ms. PAMELA JO POUL EFDA
1063 MOUNTAIN VIEW LANE
MOLALLA, OR 97038
Phone number: 503-829-5075
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