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1114750528
EMMANUEL MACIAS
REDMOND, OR
NPI
1114750528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 65473)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
Dr. EMMANUEL MACIAS DPT
974 SW VETERANS WAY STE 4
REDMOND, OR 97756-2564
Phone number: 541-504-5363
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Mailing Address
Dr. EMMANUEL MACIAS DPT
7690 NE 33RD ST
REDMOND, OR 97756-8766
Phone number: 661-877-5557
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