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1386990646
LORNA J DEFREEST
PORTLAND, OR
NPI
1386990646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 2583)
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
-- LORNA J DEFREEST COTA
1815 SW MARLOW AVE STE 110
PORTLAND, OR 97225-5185
Phone number: 503-292-0765
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Mailing Address
-- LORNA J DEFREEST COTA
1815 SW MARLOW AVE STE 110
PORTLAND, OR 97225-5185
Phone number: 503-292-0765
Copy
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