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1316092083
SUSAN CASTOR
GRESHAM, OR
NPI
1316092083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H2701)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- SUSAN CASTOR
360 NW BURNSIDE RD
GRESHAM, OR 97030-3852
Phone number: 503-667-7480
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Mailing Address
-- SUSAN CASTOR
7019 SE WOODWARD ST
PORTLAND, OR 97206-1974
Phone number:
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