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1174944557
LISA HARDY
TIGARD, OR
NPI
1174944557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 120494)
Enumeration Date
2014-01-02
Last Update Date
2014-01-02
Business Address
-- LISA HARDY
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-684-9274
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Mailing Address
-- LISA HARDY
6428 SE 91ST AVE
PORTLAND, OR 97266-5222
Phone number: 503-901-5703
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