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1285264036
KELSEY TATE
BEAVERTON, OR
NPI
1285264036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 117418)
Enumeration Date
2020-01-21
Last Update Date
2020-01-21
Business Address
KELSEY TATE EFDA
12450 SW WALKER RD
BEAVERTON, OR 97005-1401
Phone number: 503-277-1050
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Mailing Address
KELSEY TATE EFDA
12450 SW WALKER RD
BEAVERTON, OR 97005-1401
Phone number:
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