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1780930008
BAILEY RENEE BUSHUE
PORTLAND, OR
NPI
1780930008
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Former Name
BAILEY RENEE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5790)
Enumeration Date
2012-07-24
Last Update Date
2013-12-18
Business Address
-- BAILEY RENEE BUSHUE
1314 NE GRAND AVE
PORTLAND, OR 97232-1127
Phone number: 503-286-6868
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Mailing Address
-- BAILEY RENEE BUSHUE
470 SHAFER LN
JACKSONVILLE, OR 97530-9694
Phone number: 541-306-8019
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