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1841941879
ELIZABETH CARRILLO-AVALOS
CLACKAMAS, OR
NPI
1841941879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 122631)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
ELIZABETH CARRILLO-AVALOS
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 800-813-2000
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Mailing Address
ELIZABETH CARRILLO-AVALOS
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 800-813-2000
Copy
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