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1316140288
KIMBERLY A BONAFEDE
PORTLAND, OR
NPI
1316140288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1061321)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
MISS KIMBERLY A BONAFEDE OTR
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-5288
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Mailing Address
MISS KIMBERLY A BONAFEDE OTR
3034 NE 49TH AVE
PORTLAND, OR 97213-1845
Phone number: 503-228-9461
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