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1013767268
ANNA-MARIE AYALA STATELER
PORTLAND, OR
NPI
1013767268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 011747)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
ANNA-MARIE AYALA STATELER
11855 NE GLENN WIDING DR BLDG F
PORTLAND, OR 97220-9057
Phone number: 360-600-7751
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Mailing Address
ANNA-MARIE AYALA STATELER
11855 NE GLENN WIDING DR BLDG F
PORTLAND, OR 97220-9057
Phone number:
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