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1447498886
LESLEY ANN DEFAZIO
PORTLAND, OR
NPI
1447498886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5827)
Enumeration Date
2009-01-22
Last Update Date
2022-03-06
Business Address
LESLEY ANN DEFAZIO P.T.
500 NE MULTNOMAH ST
PORTLAND, OR 97232-2023
Phone number: 503-407-0834
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Mailing Address
LESLEY ANN DEFAZIO P.T.
11481 SW HALL BLVD SUITE 201
PORTLAND, OR 97223-8403
Phone number: 800-219-8835
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