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1144828567
ROSE HERNANDEZ
GRESHAM, OR
NPI
1144828567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
ROSE HERNANDEZ
405 NE 5TH ST
GRESHAM, OR 97030-7345
Phone number: 503-666-5600
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Mailing Address
ROSE HERNANDEZ
15121 SW MILLIKAN WAY APT 318
BEAVERTON, OR 97003-5191
Phone number:
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