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1396223699
SARA MOON
PORTLAND, OR
NPI
1396223699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
SARA MOON DPT
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-5945
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Mailing Address
SARA MOON DPT
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number:
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