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1245320654
BONITA FAVERO
MILWAUKIE, OR
NPI
1245320654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7686)
Enumeration Date
2006-10-14
Last Update Date
2014-05-21
Business Address
-- BONITA FAVERO P.T.A
4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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Mailing Address
-- BONITA FAVERO P.T.A
4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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