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1912266438
KELLIE ANDERSON
SALEM, OR
NPI
1912266438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 120376)
Enumeration Date
2012-05-04
Last Update Date
2012-05-04
Business Address
-- KELLIE ANDERSON CDA, EFDA
2300 LANCASTER DR NE
SALEM, OR 97305-1223
Phone number: 503-370-4313
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Mailing Address
-- KELLIE ANDERSON CDA, EFDA
2300 LANCASTER DR NE
SALEM, OR 97305-1223
Phone number: 503-370-4313
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