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1295956704
RICCI JEAN SUSICK
PORTLAND, OR
NPI
1295956704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 500)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
MS. RICCI JEAN SUSICK P.T.
4805 NE GLISAN
PORTLAND, OR 97213
Phone number: 503-215-6202
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Mailing Address
MS. RICCI JEAN SUSICK P.T.
5110 SW LANDING DRIVE UNIT 206
PORTLAND, OR 97239
Phone number: 503-241-8108
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