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1457831455
MAYANNA LYNNE DETTWYLER
MILWAUKIE, OR
NPI
1457831455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 406400)
Enumeration Date
2018-08-19
Last Update Date
2018-08-19
Business Address
MAYANNA LYNNE DETTWYLER COTA/L
10330 SE 32ND AVE
MILWAUKIE, OR 97222-6587
Phone number: 503-513-8600
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Mailing Address
MAYANNA LYNNE DETTWYLER COTA/L
1212 SE OAK GROVE BLVD
MILWAUKIE, OR 97267-1073
Phone number: 503-580-8081
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