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1033847025
JENNIFER LYN EDMONDS
PORTLAND, OR
NPI
1033847025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08638)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
Mrs. JENNIFER LYN EDMONDS PTA
812 SE 48TH AVE
PORTLAND, OR 97215-1724
Phone number: 503-236-2624
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Mailing Address
Mrs. JENNIFER LYN EDMONDS PTA
7318 N SYRACUSE ST
PORTLAND, OR 97203-5068
Phone number: 206-930-8246
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