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1922689207
LESLIE LUCINDA PETERSON
BEAVERTON, OR
NPI
1922689207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
124Q00000X Dental Hygienist
Enumeration Date
2021-04-18
Last Update Date
2021-04-24
Business Address
MRS. LESLIE LUCINDA PETERSON RDH, OMT
6590 SW FALLBROOK PL STE 2
BEAVERTON, OR 97008-5465
Phone number: 503-922-6636
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Mailing Address
MRS. LESLIE LUCINDA PETERSON RDH, OMT
6590 SW FALLBROOK PL STE 2
BEAVERTON, OR 97008-5465
Phone number: 503-922-6636
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