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1023468097
VALERIE ELIZABETH GANSEN
MILWAUKIE, OR
NPI
1023468097
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Former Name
VALERIE ELIZABETH KACZOWKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2214)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- VALERIE ELIZABETH GANSEN P.T
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5200
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Mailing Address
-- VALERIE ELIZABETH GANSEN P.T
86460 KINWOOD RD
EUGENE, OR 97402-9062
Phone number: 541-844-6457
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