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1104939941
PATRICIA ANNE BURNETT
BEAVERTON, OR
NPI
1104939941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR 1122)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Ms. PATRICIA ANNE BURNETT RDH
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-626-4148
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Mailing Address
Ms. PATRICIA ANNE BURNETT RDH
9650 SW LODESTONE DR
BEAVERTON, OR 97007-8861
Phone number: 503-579-7959
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