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1194018564
TERESA J WAITE
BEND, OR
NPI
1194018564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR DT-DO-10137920)
Enumeration Date
2011-05-18
Last Update Date
2019-09-03
Business Address
TERESA J WAITE LD
2381 NE CONNERS AVE
BEND, OR 97701-6068
Phone number: 541-678-6262
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Mailing Address
TERESA J WAITE LD
PO BOX 11470
EUGENE, OR 97440-3670
Phone number: 888-468-0022
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