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1467955195
CHRYSTAL L DAVIS
PORTLAND, OR
NPI
1467955195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 115363)
Enumeration Date
2018-03-08
Last Update Date
2022-08-15
Business Address
CHRYSTAL L DAVIS DA
12750 SE STARK ST BLDG E
PORTLAND, OR 97233-1539
Phone number: 971-347-3009
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Mailing Address
CHRYSTAL L DAVIS DA
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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