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1518970490
ADELE F. GOODSELL
PORTLAND, OR
NPI
1518970490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H2148)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Ms. ADELE F. GOODSELL RDHEF
1314 NE GRAND AVE
PORTLAND, OR 97232-1127
Phone number: 503-280-2877
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Mailing Address
Ms. ADELE F. GOODSELL RDHEF
10429 SW TITAN LN
TIGARD, OR 97224-4411
Phone number: 503-620-9963
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