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1265047724
ADELIA KETCHUM
CLACKAMAS, OR
NPI
1265047724
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Other Name
ADDIE KETCHUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
ADELIA KETCHUM DPT
9100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-6772
Phone number: 503-305-6129
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Mailing Address
ADELIA KETCHUM DPT
2936 SE MONROE ST
MILWAUKIE, OR 97222-6635
Phone number: 503-407-5927
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