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1265880801
AUDREY LEIGH LUTES
PORTLAND, OR
NPI
1265880801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H6505)
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
-- AUDREY LEIGH LUTES RDH
3130 SE DIVISION STREET
PORTLAND, OR 97202
Phone number: 503-515-2877
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Mailing Address
-- AUDREY LEIGH LUTES RDH
31920 HISTORIC COLUMBIA RIVER HWY
TROUTDALE, OR 97060-9377
Phone number: 503-515-2877
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