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1134736838
JOHN STEWART PRICKETT
CLACKAMAS, OR
NPI
1134736838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202008524NP-PP)
Enumeration Date
2020-09-26
Last Update Date
2024-05-20
Business Address
JOHN STEWART PRICKETT NP
10221 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 503-684-8252
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Mailing Address
JOHN STEWART PRICKETT NP
10221 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9782
Phone number: 503-684-8252
Copy
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