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1346768637
KIRSTEN CELANIRE SHANGRAW
PORTLAND, OR
NPI
1346768637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 60918)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
Miss KIRSTEN CELANIRE SHANGRAW DPT
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-5787
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Mailing Address
Miss KIRSTEN CELANIRE SHANGRAW DPT
777 NW 19TH AVE APT 513
PORTLAND, OR 97209-1397
Phone number:
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