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1245728427
KERRI LOGUE
PORTLAND, OR
NPI
1245728427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 114785)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
KERRI LOGUE
7201 N INTERSTATE AVE
PORTLAND, OR 97217-5523
Phone number: 503-286-6860
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Mailing Address
KERRI LOGUE
PO BOX 2976
BATTLE GROUND, WA 98604-2921
Phone number:
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