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1477119352
VIET QUOC LE
MISSOULA, MT
NPI
1477119352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MT OTP-OT-LIC-6357)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
Mr. VIET QUOC LE OTR
2651 SOUTH AVE W
MISSOULA, MT 59804-6405
Phone number: 406-728-9162
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Mailing Address
Mr. VIET QUOC LE OTR
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
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