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1053901603
BRYAN LLANTERO
BEAVERTON, OR
NPI
1053901603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63827)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
BRYAN LLANTERO
735 SW 158TH AVE STE 160
BEAVERTON, OR 97006-4915
Phone number: 503-597-0035
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Mailing Address
BRYAN LLANTERO
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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