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1346784998
SHAN-AI KWONG
GRESHAM, OR
NPI
1346784998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5613)
Enumeration Date
2016-12-15
Last Update Date
2016-12-15
Business Address
-- SHAN-AI KWONG
1261 NE 27TH ST
GRESHAM, OR 97030-3033
Phone number: 503-307-6802
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Mailing Address
-- SHAN-AI KWONG
1261 NE 27TH ST
GRESHAM, OR 97030-3033
Phone number:
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