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1134313901
SALLY ALICE STAUFFER
PORTLAND, OR
NPI
1134313901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 233980)
Enumeration Date
2007-09-04
Last Update Date
2007-09-04
Business Address
Mrs. SALLY ALICE STAUFFER OTR/L
2135 N HUMBOLDT ST
PORTLAND, OR 97217-3527
Phone number: 971-222-5360
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Mailing Address
Mrs. SALLY ALICE STAUFFER OTR/L
2135 N HUMBOLDT ST
PORTLAND, OR 97217-3527
Phone number: 971-222-5360
Copy
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