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1164168423
REBECCA ARDATH BASL
CORVALLIS, OR
NPI
1164168423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
REBECCA ARDATH BASL
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-409-3455
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Mailing Address
REBECCA ARDATH BASL
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-409-3455
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