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1205192283
MALLORY KENNEDY
PORTLAND, OR
NPI
1205192283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: OR 233754)
Enumeration Date
2012-04-04
Last Update Date
2024-04-11
Business Address
MALLORY KENNEDY
4216 NE 24TH AVE
PORTLAND, OR 97211-6414
Phone number: 845-893-7389
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Mailing Address
MALLORY KENNEDY
4216 NE 24TH AVE
PORTLAND, OR 97211-6414
Phone number: 845-893-7389
Copy
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