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1144708439
ROY N MANRIQUEZ
MILWAUKIE, OR
NPI
1144708439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 49426)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
ROY N MANRIQUEZ PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 925-202-4124
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Mailing Address
ROY N MANRIQUEZ PTA
4439 MORSE CT
NAPA, CA 94558-1752
Phone number: 925-202-4124
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