MARISSA GARDNER

COOS BAY, OR
NPI1306332010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247200000X Technician, Other
Additional Taxonomies125J00000X Dental Therapist
(Licence: OR  DT0005)
Enumeration Date2018-07-05
Last Update Date2024-09-17
Business Address
MARISSA GARDNER
1245 FULTON AVE
COOS BAY, OR 97420-2895
Phone number: 541-888-6433
Mailing Address
MARISSA GARDNER
1245 FULTON AVE
COOS BAY, OR 97420-2895
Phone number:
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