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1457636110
ERICA MICHELLE LEWIS
GRESHAM, OR
NPI
1457636110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6156)
Enumeration Date
2011-10-13
Last Update Date
2011-10-13
Business Address
-- ERICA MICHELLE LEWIS RDH, BS,LAP
1129 NE CENTURION DR
GRESHAM, OR 97030-4562
Phone number: 541-231-2661
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Mailing Address
-- ERICA MICHELLE LEWIS RDH, BS,LAP
1129 NE CENTURION DR
GRESHAM, OR 97030-4562
Phone number: 541-231-2661
Copy
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