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1356878771
STACEY IRENE INLOES
CLACKAMAS, OR
NPI
1356878771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 113490)
Enumeration Date
2017-05-16
Last Update Date
2017-05-16
Business Address
STACEY IRENE INLOES EFDA
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 503-353-3900
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Mailing Address
STACEY IRENE INLOES EFDA
18848 ROSE RD
OREGON CITY, OR 97045-8929
Phone number: 503-830-3518
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