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1720469240
TANYA KORNUTA
BEAVERTON, OR
NPI
1720469240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6746)
Enumeration Date
2015-06-10
Last Update Date
2015-06-10
Business Address
-- TANYA KORNUTA RDH
16755 SW BASELINE RD 106
BEAVERTON, OR 97006
Phone number: 503-533-4001
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Mailing Address
-- TANYA KORNUTA RDH
21919 NE HEARTWOOD CIR
FAIRVIEW, OR 97024-6790
Phone number:
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