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1174777825
ALYSSIA KRISTINE PUENTE
WOODBURN, OR
NPI
1174777825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5426)
Enumeration Date
2008-11-07
Last Update Date
2008-11-07
Business Address
Mrs. ALYSSIA KRISTINE PUENTE RDH
620 LEASURE ST
WOODBURN, OR 97071-4220
Phone number: 503-580-6650
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Mailing Address
Mrs. ALYSSIA KRISTINE PUENTE RDH
620 LEASURE ST
WOODBURN, OR 97071-4220
Phone number: 503-580-6650
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