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1003460072
JOANNA HALLAM
LA GRANDE, OR
NPI
1003460072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63331)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
JOANNA HALLAM PT, DPT
2519 COVE AVE
LA GRANDE, OR 97850-3910
Phone number: 541-962-0830
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Mailing Address
JOANNA HALLAM PT, DPT
611 12TH ST APT O
LA GRANDE, OR 97850-2864
Phone number: 916-390-0357
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