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1265870042
SON THANH NGUYEN
PORTLAND, OR
NPI
1265870042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6242)
Enumeration Date
2013-06-13
Last Update Date
2013-06-13
Business Address
-- SON THANH NGUYEN RDH
11421 SE NICHOLAS CT
PORTLAND, OR 97266-3386
Phone number: 503-734-8103
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Mailing Address
-- SON THANH NGUYEN RDH
11421 SE NICHOLAS CT
PORTLAND, OR 97266-3386
Phone number: 503-734-8103
Copy
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