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1689006439
AMY KATHLEEN PRUETT
PORTLAND, OR
NPI
1689006439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D9934)
Enumeration Date
2013-08-04
Last Update Date
2017-09-18
Business Address
-- AMY KATHLEEN PRUETT DMD
220 NE WEIDLER ST
PORTLAND, OR 97232-1121
Phone number: 855-433-6825
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Mailing Address
-- AMY KATHLEEN PRUETT DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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