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1245322882
LONI MARIE MCNAMARA
BEAVERTON, OR
NPI
1245322882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 114870)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- LONI MARIE MCNAMARA EFDA
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Phone number: 503-626-4148
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Mailing Address
-- LONI MARIE MCNAMARA EFDA
1171 2ND AVE
VERNONIA, OR 97064
Phone number: 503-429-6303
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