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1992355077
KARLA LOIS PRESTON WILFONG
ROSEBURG, OR
NPI
1992355077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H4521)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
KARLA LOIS PRESTON WILFONG EPDH
1600 GARDEN VALLEY BLVD
ROSEBURG, OR 97471-8700
Phone number: 541-677-4818
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Mailing Address
KARLA LOIS PRESTON WILFONG EPDH
188 LUPINE LN
ROSEBURG, OR 97471-8507
Phone number: 541-580-7244
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