THORA JANE STACY

SALEM, OR
NPI1245590553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2012-05-21
Last Update Date2012-05-21
Business Address
-- THORA JANE STACY CDA EFDA
2300 N.E. LACNCASTER DR.
SALEM, OR 97303
Phone number: 503-370-4313
Mailing Address
-- THORA JANE STACY CDA EFDA
4255 CORDON RD NE
SALEM, OR 97305-3738
Phone number: 503-370-4313
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