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1659503803
TRAVIS LEE AGEE
PORTLAND, OR
NPI
1659503803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D9335)
Enumeration Date
2009-08-20
Last Update Date
2012-11-16
Business Address
Dr. TRAVIS LEE AGEE DMD
6439 NE SANDY BLVD
PORTLAND, OR 97213-4505
Phone number: 503-284-3588
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Mailing Address
Dr. TRAVIS LEE AGEE DMD
6439 NE SANDY BLVD
PORTLAND, OR 97213-4505
Phone number: 503-284-3588
Copy
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