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1467560953
KANDICE KAROLYN LANE
BEAVERTON, OR
NPI
1467560953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR h1446)
Enumeration Date
2006-08-26
Last Update Date
2007-07-08
Business Address
Mrs. KANDICE KAROLYN LANE rdh
17675SWTUALATINVALLEYHWY
BEAVERTON, OR 97006
Phone number: 503-259-3160
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Mailing Address
Mrs. KANDICE KAROLYN LANE rdh
17675SWTUALATINVALLEYHWY
BEAVERTON, OR 97006
Phone number: 503-259-3160
Copy
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