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1710545710
DIANE PHAN LEE
PORTLAND, OR
NPI
1710545710
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Former Name
DIANE PHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR h7100)
Enumeration Date
2019-06-04
Last Update Date
2023-05-11
Business Address
DIANE PHAN LEE RDH
9151 SE WOODSTOCK BLVD
PORTLAND, OR 97266-5369
Phone number: 503-433-2414
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Mailing Address
DIANE PHAN LEE RDH
6004 NE 51ST AVE
VANCOUVER, WA 98661-1865
Phone number: 503-821-9030
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