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1245446103
AMANDA EDWARDS KEEGAN
PORTLAND, OR
NPI
1245446103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5018)
Enumeration Date
2007-05-15
Last Update Date
2013-01-14
Business Address
-- AMANDA EDWARDS KEEGAN MPT
12616 SE STARK ST BLDG L
PORTLAND, OR 97233-1058
Phone number: 360-480-5859
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Mailing Address
-- AMANDA EDWARDS KEEGAN MPT
12616 SE STARK ST BLDG L
PORTLAND, OR 97233-1058
Phone number: 360-480-5859
Copy
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