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1245590553
THORA JANE STACY
SALEM, OR
NPI
1245590553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2012-05-21
Last Update Date
2012-05-21
Business Address
THORA JANE STACY CDA EFDA
2300 N.E. LACNCASTER DR.
SALEM, OR 97303
Phone number: 503-370-4313
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Mailing Address
THORA JANE STACY CDA EFDA
4255 CORDON RD NE
SALEM, OR 97305-3738
Phone number: 503-370-4313
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