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1215797550
KAYE TANIE DOMINGO
MILWAUKIE, OR
NPI
1215797550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
KAYE TANIE DOMINGO
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 888-470-6409
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Mailing Address
KAYE TANIE DOMINGO
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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