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1174387609
MONIKA RENEE DESHAZER
FAIRVIEW, OR
NPI
1174387609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8850)
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
MONIKA RENEE DESHAZER
1204 NE 201ST AVE
FAIRVIEW, OR 97024-2499
Phone number: 503-661-7200
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Mailing Address
MONIKA RENEE DESHAZER
21021 SE BURNSIDE CT
GRESHAM, OR 97030-3643
Phone number: 503-381-9981
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