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1114290335
LISA R BRUNNER
SALEM, OR
NPI
1114290335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 7809)
Enumeration Date
2012-02-18
Last Update Date
2013-12-03
Business Address
Mrs. LISA R BRUNNER LMT
752 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-409-0760
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Mailing Address
Mrs. LISA R BRUNNER LMT
752 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-409-0760
Copy
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