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1760727291
SHANDA MAYA BARRETT
PORTLAND, OR
NPI
1760727291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6406)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
Ms. SHANDA MAYA BARRETT
3027 NE 12TH AVE
PORTLAND, OR 97212-3251
Phone number: 503-757-7375
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Mailing Address
Ms. SHANDA MAYA BARRETT
3027 NE 12TH AVE
PORTLAND, OR 97212-3251
Phone number: 503-757-7375
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