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1235796293
ELISE MIRANDA PRINCEHOUSE MOORE
SILVERTON, OR
NPI
1235796293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63267)
Enumeration Date
2019-05-24
Last Update Date
2024-07-16
Business Address
ELISE MIRANDA PRINCEHOUSE MOORE DPT
602A FRONT ST
SILVERTON, OR 97381-1428
Phone number: 503-874-4416
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Mailing Address
ELISE MIRANDA PRINCEHOUSE MOORE DPT
601 N 1ST AVE
STAYTON, OR 97383-1704
Phone number: 503-769-3123
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