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1871758219
JACQUELINE JANE BURKHART
GRESHAM, OR
NPI
1871758219
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Other Name
JACKI BURKHART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H4808)
Enumeration Date
2008-07-24
Last Update Date
2008-07-24
Business Address
Ms. JACQUELINE JANE BURKHART RDH
360 NW BURNSIDE RD
GRESHAM, OR 97030-3852
Phone number: 503-667-7480
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Mailing Address
Ms. JACQUELINE JANE BURKHART RDH
19765 SE TICKLE CREEK RD
BORING, OR 97009-9516
Phone number: 503-866-4520
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