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1215204086
KELLIE GREEN
SPRINGFIELD, OR
NPI
1215204086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6106)
Enumeration Date
2011-11-22
Last Update Date
2011-11-28
Business Address
Ms. KELLIE GREEN R.D.H.
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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Mailing Address
Ms. KELLIE GREEN R.D.H.
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
Copy
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