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1255821575
YIAN JAN HUDDLESTON
PORTLAND, OR
NPI
1255821575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5519)
Enumeration Date
2018-05-11
Last Update Date
2018-05-11
Business Address
Mrs. YIAN JAN HUDDLESTON RDH
10102 NE GLISAN ST
PORTLAND, OR 97220-4456
Phone number: 503-286-6868
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Mailing Address
Mrs. YIAN JAN HUDDLESTON RDH
1605 NE 138TH PL
PORTLAND, OR 97230-4012
Phone number: 503-888-6153
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