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1417003997
BRANDIE COLLETTE DUPONT
SALEM, OR
NPI
1417003997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8730)
Enumeration Date
2007-01-26
Last Update Date
2011-07-06
Business Address
Ms. BRANDIE COLLETTE DUPONT MS, ATC, PTA, CSCS
685 36TH AVE NE
SALEM, OR 97301-4741
Phone number: 503-371-8860
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Mailing Address
Ms. BRANDIE COLLETTE DUPONT MS, ATC, PTA, CSCS
3018 SW CARSON ST
PORTLAND, OR 97219-3720
Phone number: 971-275-7973
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