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1417117755
NIEME FAUSTINO ALISASIS
SALEM, OR
NPI
1417117755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5551)
Enumeration Date
2008-06-10
Last Update Date
2017-08-13
Business Address
-- NIEME FAUSTINO ALISASIS PT
820 COTTAGE ST NE
SALEM, OR 97301-2426
Phone number: 503-399-9113
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Mailing Address
-- NIEME FAUSTINO ALISASIS PT
10000 W 75TH ST STE 121
SHAWNEE MISSION, KS 66204-2241
Phone number: 503-399-9113
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