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1255118725
KENNETH DANIEL O'DEA
CANBY, OR
NPI
1255118725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: OR 16852)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
KENNETH DANIEL O'DEA CCC-SLP
366 N HOLLY ST
CANBY, OR 97013-3739
Phone number: 503-908-6120
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Mailing Address
KENNETH DANIEL O'DEA CCC-SLP
11775 SE MARKET ST
PORTLAND, OR 97216-3914
Phone number: 650-740-9563
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