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1548368160
MARQUITA CORLISS
SPRINGFIELD, OR
NPI
1548368160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H1773)
Enumeration Date
2006-09-20
Last Update Date
2011-04-27
Business Address
MARQUITA CORLISS
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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Mailing Address
MARQUITA CORLISS
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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