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1689253817
IGOR ALEKSEYEVICH SOTNIKOV
PORTLAND, OR
NPI
1689253817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H7943)
Enumeration Date
2021-04-05
Last Update Date
2021-04-26
Business Address
IGOR ALEKSEYEVICH SOTNIKOV RDH EPP
2520 SE 145TH AVE
PORTLAND, OR 97236-2671
Phone number: 971-242-4396
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Mailing Address
IGOR ALEKSEYEVICH SOTNIKOV RDH EPP
14352 SE LEE AVE
MILWAUKIE, OR 97267-1132
Phone number: 503-752-4636
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