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1629608070
LISA RENEA CARR
SALEM, OR
NPI
1629608070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR A9541)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
LISA RENEA CARR
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 503-370-4313
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Mailing Address
LISA RENEA CARR
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 503-370-4313
Copy
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