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1295386639
JUNNE LICATA
MEDFORD, OR
NPI
1295386639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09803)
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
JUNNE LICATA
1200 MIRA MAR AVE
MEDFORD, OR 97504-8546
Phone number: 541-857-7131
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Mailing Address
JUNNE LICATA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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