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1013190214
STEPHANIE JOYCE PETERSON
MILWAUKIE, OR
NPI
1013190214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT4098)
Enumeration Date
2007-12-11
Last Update Date
2007-12-11
Business Address
Mrs. STEPHANIE JOYCE PETERSON PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
Mrs. STEPHANIE JOYCE PETERSON PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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