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1104311414
LYUBOV BAZYUK
PORTLAND, OR
NPI
1104311414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H4488)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
LYUBOV BAZYUK
10535 NE GLISAN ST
PORTLAND, OR 97220-4077
Phone number: 503-444-2824
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Mailing Address
LYUBOV BAZYUK
10535 NE GLISAN ST
PORTLAND, OR 97220-4077
Phone number: 503-444-2824
Copy
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