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1154741445
CHRISTINA LEE WILSON
BEAVERTON, OR
NPI
1154741445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5871)
Enumeration Date
2014-04-24
Last Update Date
2014-04-24
Business Address
Miss CHRISTINA LEE WILSON RDH,BSDH
4925 SW GRIFFITH DR
BEAVERTON, OR 97005-2923
Phone number: 503-277-2014
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Mailing Address
Miss CHRISTINA LEE WILSON RDH,BSDH
6160 SE FRANCES ST
HILLSBORO, OR 97123-6435
Phone number: 503-869-7859
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