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1477707313
SHANNAN R MAHLBERG
WEST LINN, OR
NPI
1477707313
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Other Name
SHANNAN R NEMEC
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H3707)
Enumeration Date
2008-11-05
Last Update Date
2008-11-05
Business Address
-- SHANNAN R MAHLBERG RDH
3390 QUAIL RIDGE CT
WEST LINN, OR 97068-3692
Phone number: 503-505-1335
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Mailing Address
-- SHANNAN R MAHLBERG RDH
3390 QUAIL RIDGE CT
WEST LINN, OR 97068-3692
Phone number: 503-505-1335
Copy
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