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1912120957
AMY KMETZ DITZEL
SALEM, OR
NPI
1912120957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA03007)
Enumeration Date
2007-04-10
Last Update Date
2024-11-08
Business Address
Mrs. AMY KMETZ DITZEL PA-C
4747 SKYLINE RD S
SALEM, OR 97306-4200
Phone number: 503-399-7520
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Mailing Address
Mrs. AMY KMETZ DITZEL PA-C
875 OAK ST SE STE 390
SALEM, OR 97301
Phone number: 503-399-7520
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