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1871556472
PATRICIA ANNE SULLIVAN
PORTLAND, OR
NPI
1871556472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
122300000X Dentist
(Licence: OR D6652)
Enumeration Date
2006-04-07
Last Update Date
2007-07-08
Business Address
PATRICIA ANNE SULLIVAN DMD
6274 SW CAPITOL HWY
PORTLAND, OR 97239-2674
Phone number: 503-245-3656
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Mailing Address
PATRICIA ANNE SULLIVAN DMD
3560 SW BANCROFT CT
PORTLAND, OR 97221-4029
Phone number: 503-228-8321
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