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1083804017
JANELLE CHRISTINE PRENTICE
PORTLAND, OR
NPI
1083804017
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Former Name
JANELLE CHRISTINE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8277)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
Mrs. JANELLE CHRISTINE PRENTICE PTA
8643 NE BEECH ST
PORTLAND, OR 97220-5012
Phone number: 503-256-2151
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Mailing Address
Mrs. JANELLE CHRISTINE PRENTICE PTA
8643 NE BEECH ST
PORTLAND, OR 97220-5012
Phone number: 503-256-2151
Copy
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