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1013955798
KELLY DEAN PRIDGEN
PENDLETON, OR
NPI
1013955798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD24109)
Enumeration Date
2006-06-03
Last Update Date
2008-03-05
Business Address
-- KELLY DEAN PRIDGEN MD
1601 SE COURT AVE
PENDLETON, OR 97801-3217
Phone number: 541-276-5121
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Mailing Address
-- KELLY DEAN PRIDGEN MD
505 S 336TH ST SUITE 600
FEDERAL WAY, WA 98003-6328
Phone number: 253-838-6180
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