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1114664059
CALLYE GENEVIEVE HANSEN
PORTLAND, OR
NPI
1114664059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17477)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
CALLYE GENEVIEVE HANSEN
1246 SW FALCON ST
PORTLAND, OR 97219-4341
Phone number: 503-421-8629
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Mailing Address
CALLYE GENEVIEVE HANSEN
10785 NW 20TH DR
CORAL SPRINGS, FL 33071-4214
Phone number: 954-591-6000
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