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1427065317
HEATHER JEAN DEFORD
PORTLAND, OR
NPI
1427065317
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Former Name
HEATHER JEAN DENISTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4250)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- HEATHER JEAN DEFORD MPT
9204 SE MITCHELL ST
PORTLAND, OR 97266
Phone number: 503-777-6746
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Mailing Address
-- HEATHER JEAN DEFORD MPT
9204 SE MITCHELL ST
PORTLAND, OR 97266
Phone number: 503-777-6746
Copy
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