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1306271473
LORI A DOMARCHUK
BEND, OR
NPI
1306271473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 04571)
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
-- LORI A DOMARCHUK PT
2500 NE NEFF RD
BEND, OR 97701-6015
Phone number: 541-382-4321
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Mailing Address
-- LORI A DOMARCHUK PT
PO BOX 6095
BEND, OR 97708-6095
Phone number: 541-382-4321
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