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1417320003
MOLLIE CHRISTINA TATE
PORTLAND, OR
NPI
1417320003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6992)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
-- MOLLIE CHRISTINA TATE RDH
13255 SE STARK ST
PORTLAND, OR 97233-1548
Phone number: 503-255-1901
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Mailing Address
-- MOLLIE CHRISTINA TATE RDH
7654 SE LAKE RD
MILWAUKIE, OR 97267-2144
Phone number: 503-358-3386
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