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1609281997
BOONYAPA PURT
MCMINNVILLE, OR
NPI
1609281997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR D10055)
Enumeration Date
2014-06-25
Last Update Date
2022-08-10
Business Address
BOONYAPA PURT DMD
1046 NE 3RD ST
MCMINNVILLE, OR 97128-4418
Phone number: 503-472-1468
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Mailing Address
BOONYAPA PURT DMD
1046 NE 3RD ST
MCMINNVILLE, OR 97128-4418
Phone number:
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