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1063549129
SHELLY LEIGH WETZELL
CLACKAMAS, OR
NPI
1063549129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 5965855)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- SHELLY LEIGH WETZELL Ptda
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 503-353-3900
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Mailing Address
-- SHELLY LEIGH WETZELL Ptda
7820 SE ASPEN SUMMIT DR #64
PORTLAND, OR 97266-6155
Phone number:
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