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1861630808
SHEILA SUZANNE BLACKETER
SALEM, OR
NPI
1861630808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H3855)
Enumeration Date
2009-01-29
Last Update Date
2009-01-29
Business Address
Mrs. SHEILA SUZANNE BLACKETER RDH
700 53RD AVE NW
SALEM, OR 97304-3248
Phone number: 503-871-5214
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Mailing Address
Mrs. SHEILA SUZANNE BLACKETER RDH
700 53RD AVE NW
SALEM, OR 97304-3248
Phone number: 503-871-5214
Copy
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