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1952419079
SANDRA LEE WILSON
CLACKAMAS, OR
NPI
1952419079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H1769)
Enumeration Date
2006-08-28
Last Update Date
2022-03-08
Business Address
SANDRA LEE WILSON RDH
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 506-353-3900
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Mailing Address
SANDRA LEE WILSON RDH
PO BOX 835
SILVERTON, OR 97381-0835
Phone number:
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