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1366096448
MADELEINE KNUTSON
PORTLAND, OR
NPI
1366096448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-07-28
Last Update Date
2019-07-28
Business Address
MADELEINE KNUTSON
12617 NW AVIGNON LN
PORTLAND, OR 97229-9405
Phone number: 503-841-7500
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Mailing Address
MADELEINE KNUTSON
12617 NW AVIGNON LN
PORTLAND, OR 97229-9405
Phone number:
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