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1619504164
ANNA NICOLE GERLACH
MCMINNVILLE, OR
NPI
1619504164
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Former Name
ANNA NICOLE HILDEBRAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D11212)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
ANNA NICOLE GERLACH DMD
1915 NE BAKER ST
MCMINNVILLE, OR 97128-2601
Phone number: 503-472-7121
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Mailing Address
ANNA NICOLE GERLACH DMD
10500 SW BANNOCH CT
TUALATIN, OR 97062-8400
Phone number: 503-319-0541
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