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1174517528
MARY IRENE HERNANDEZ
COOS BAY, OR
NPI
1174517528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 3749)
Enumeration Date
2005-08-31
Last Update Date
2007-11-05
Business Address
-- MARY IRENE HERNANDEZ MPT, CWS
1900 WOODLAND DR
COOS BAY, OR 97420
Phone number: 541-267-5151
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Mailing Address
-- MARY IRENE HERNANDEZ MPT, CWS
1900 WOODLAND DR
COOS BAY, OR 97420
Phone number: 541-267-5151
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