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1255038162
LAURA RENE LEE
SPRINGFIELD, OR
NPI
1255038162
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Former Name
LAURA RENE BETHURUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H3397)
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
LAURA RENE LEE RDH
2510 GAME FARM RD
SPRINGFIELD, OR 97477-7513
Phone number: 541-844-9235
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Mailing Address
LAURA RENE LEE RDH
PO BOX 462
CRESWELL, OR 97426-0462
Phone number: 541-844-9235
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