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1124774369
BETHANY D JACKSON
CORVALLIS, OR
NPI
1124774369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H7018)
Enumeration Date
2022-02-25
Last Update Date
2022-02-25
Business Address
BETHANY D JACKSON
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
BETHANY D JACKSON
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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