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1134813025
GEENA RAE LOPEZ
BEND, OR
NPI
1134813025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 64258)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
GEENA RAE LOPEZ
3571 NW MCCREADY DR
BEND, OR 97703-8650
Phone number: 209-985-2940
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Mailing Address
GEENA RAE LOPEZ
3571 NW MCCREADY DR
BEND, OR 97703-8650
Phone number: 209-985-2940
Copy
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