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1003273962
MICHELLE LONGA
MILWAUKIE, OR
NPI
1003273962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 32856)
Enumeration Date
2016-01-24
Last Update Date
2016-01-24
Business Address
-- MICHELLE LONGA RPT
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5237
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Mailing Address
-- MICHELLE LONGA RPT
9909 TUNGSTEN ST
BAKERSFIELD, CA 93311-9516
Phone number: 714-906-9962
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