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1457637670
KELLI SHAFFER
BEAVERTON, OR
NPI
1457637670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5156)
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
-- KELLI SHAFFER RDH
8239 SW 186TH AVE
BEAVERTON, OR 97007-5533
Phone number: 503-926-3974
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Mailing Address
-- KELLI SHAFFER RDH
8239 SW 186TH AVE
BEAVERTON, OR 97007-5533
Phone number: 503-926-3974
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