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1871615377
TERRY LEE PETTY
PORTLAND, OR
NPI
1871615377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 272832)
Enumeration Date
2007-04-04
Last Update Date
2013-10-09
Business Address
Mr. TERRY LEE PETTY DC
16248 NE GLISAN ST
PORTLAND, OR 97230-5833
Phone number: 503-546-7543
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Mailing Address
Mr. TERRY LEE PETTY DC
997 NW ASH CREEK LN
PORTLAND, OR 97229-5283
Phone number: 503-297-0597
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