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1235672049
NICOLE LYEMONE YEATS
PORTLAND, OR
NPI
1235672049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 113515)
Enumeration Date
2016-11-28
Last Update Date
2016-11-28
Business Address
-- NICOLE LYEMONE YEATS EFDA
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-238-4418
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Mailing Address
-- NICOLE LYEMONE YEATS EFDA
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-238-4418
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