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1265693618
ANN MARIKO BOUSE
WILSONVILLE, OR
NPI
1265693618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4154)
Enumeration Date
2008-06-18
Last Update Date
2008-06-18
Business Address
-- ANN MARIKO BOUSE PT
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR 97070-9697
Phone number: 503-570-3665
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Mailing Address
-- ANN MARIKO BOUSE PT
290 CAMBRIDGE ST
ASHLAND, OR 97520-1002
Phone number: 541-951-8390
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