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1548379274
TAMARA LARAE COPPEDGE
TIGARD, OR
NPI
1548379274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
MRS. TAMARA LARAE COPPEDGE EFDA,PTDA
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-684-9274
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Mailing Address
MRS. TAMARA LARAE COPPEDGE EFDA,PTDA
21540 SW GREGORY DR
BEAVERTON, OR 97006-6450
Phone number: 503-645-7766
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