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1487638276
KELLY L. DOMEYER
SALEM, OR
NPI
1487638276
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Former Name
KELLY BRENDLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 1342)
Enumeration Date
2005-12-05
Last Update Date
2020-08-05
Business Address
Mrs. KELLY L. DOMEYER PT
3270 LIBERTY RD. S.
SALEM, OR 97302
Phone number: 503-371-0779
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Mailing Address
Mrs. KELLY L. DOMEYER PT
3270 LIBERTY RD. S.
SALEM, OR 97302
Phone number: 503-371-0779
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