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1598778169
DESIREE DENISE KELLY
TIGARD, OR
NPI
1598778169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H1854)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Mrs. DESIREE DENISE KELLY RDH
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-684-9274
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Mailing Address
Mrs. DESIREE DENISE KELLY RDH
9705 SW 49TH AVE
PORTLAND, OR 97219-5157
Phone number: 503-245-0947
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