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1659111771
AMY KAY RUSSELL
PORTLAND, OR
NPI
1659111771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 118534)
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
AMY KAY RUSSELL
1314 NE GRAND AVE
PORTLAND, OR 97232-1127
Phone number: 503-280-2877
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Mailing Address
AMY KAY RUSSELL
9601 NE 302ND ST
BATTLE GROUND, WA 98604-7635
Phone number: 503-453-6958
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