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1427396613
KATIE LYNN FAULKNER
PORTLAND, OR
NPI
1427396613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6374)
Enumeration Date
2013-01-22
Last Update Date
2013-01-22
Business Address
KATIE LYNN FAULKNER RDH
13255 SE STARK ST
PORTLAND, OR 97233-1548
Phone number: 503-255-1901
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Mailing Address
KATIE LYNN FAULKNER RDH
13255 SE STARK ST
PORTLAND, OR 97233-1548
Phone number:
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