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1013175819
ANN CHARISE LUCIANO COOPER
GRESHAM, OR
NPI
1013175819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1073508)
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
Mrs. ANN CHARISE LUCIANO COOPER OTR/L
405 NE 5TH ST
GRESHAM, OR 97030-7345
Phone number: 503-666-5600
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Mailing Address
Mrs. ANN CHARISE LUCIANO COOPER OTR/L
18176 MEADOW AVE
SANDY, OR 97055-6821
Phone number: 541-264-0285
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