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1154491777
JENNIFER SUZANNE BLAKE
MILWAUKIE, OR
NPI
1154491777
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Former Name
JENNIFER SUZANNE UHLMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5243)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- JENNIFER SUZANNE BLAKE Physcial Therapist
4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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Mailing Address
-- JENNIFER SUZANNE BLAKE Physcial Therapist
4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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