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1770915084
KRISTA V BRANDT
BEAVERTON, OR
NPI
1770915084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 118212)
Enumeration Date
2013-08-08
Last Update Date
2013-08-08
Business Address
Mrs. KRISTA V BRANDT EFDA
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006-4443
Phone number: 503-286-6868
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Mailing Address
Mrs. KRISTA V BRANDT EFDA
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006-4443
Phone number: 503-286-6868
Copy
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