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1730108044
SANDRA ANN MCCOY
PORTLAND, OR
NPI
1730108044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: OR 5845)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Dr. SANDRA ANN MCCOY DMD
10102 NE GLISAN ST
PORTLAND, OR 97220-4456
Phone number: 503-257-5959
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Mailing Address
Dr. SANDRA ANN MCCOY DMD
10102 NE GLISAN ST
PORTLAND, OR 97220-4456
Phone number: 503-257-5959
Copy
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