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1104462340
AMANDA NOELLE JENKINS
BEAVERTON, OR
NPI
1104462340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 120622)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
AMANDA NOELLE JENKINS
17675 SW TV HWY
BEAVERTON, OR 97003-4443
Phone number: 503-259-3160
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Mailing Address
AMANDA NOELLE JENKINS
484 N 10TH ST
SAINT HELENS, OR 97051-1311
Phone number: 503-438-5155
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