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1477197994
RISA ITANI MS CCC-SLP
BEND, OR
NPI
1477197994
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Entity Type
Organization
Authorized Contact
RISA ITANI
Sole Member/Manager
352-209-6494
Organization Subpart ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2019-10-29
Last Update Date
2019-10-31
Business Address
RISA ITANI MS CCC-SLP
235 SE DAVIS AVE
BEND, OR 97702-1333
Phone number: 541-241-6153
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Mailing Address
RISA ITANI MS CCC-SLP
1240 SW 16TH ST
REDMOND, OR 97756-2906
Phone number: 352-209-6494
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