LAURIE BLAKELY

TIGARD, OR
NPI1679965792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H4489)
Enumeration Date2015-02-26
Last Update Date2015-02-26
Business Address
Mrs. LAURIE BLAKELY RDH, EP
10100 SW MOLLY CT
TIGARD, OR 97223-5168
Phone number: 503-267-3067
Mailing Address
Mrs. LAURIE BLAKELY RDH, EP
10100 SW MOLLY CT
TIGARD, OR 97223-5168
Phone number: 503-267-3067
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