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1396191391
SHANON LEA MILLER
FOREST GROVE, OR
NPI
1396191391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09291)
Enumeration Date
2016-05-09
Last Update Date
2016-05-09
Business Address
MISS SHANON LEA MILLER
3900 PACIFIC AVE
FOREST GROVE, OR 97116-2226
Phone number: 503-359-0449
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Mailing Address
MISS SHANON LEA MILLER
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR 97070-9697
Phone number:
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