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1699127993
JEANETTE DIBALA
SILVERTON, OR
NPI
1699127993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: OR 16-379)
Enumeration Date
2016-07-11
Last Update Date
2016-07-11
Business Address
-- JEANETTE DIBALA SA-C
342 FAIRVIEW ST
SILVERTON, OR 97381-1917
Phone number: 503-873-1713
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Mailing Address
-- JEANETTE DIBALA SA-C
12353 SILVERTON RD NE
SILVERTON, OR 97381-9363
Phone number: 503-428-4983
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