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1467641894
TONY J CORNEJO
MILWAUKIE, OR
NPI
1467641894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC00000791)
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
Mr. TONY J CORNEJO COTAL
4560 SE INTERNATIONAL WAY CONSONUS HEALTHCARE SERVICES SUITE 100
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
Mr. TONY J CORNEJO COTAL
4560 SE INTERNATIONAL WAY CONSONUS HEALTHCARE SERVICES SUITE 100
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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