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1508047432
RANDY R HERNANDO
MILWAUKIE, OR
NPI
1508047432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 6569)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
-- RANDY R HERNANDO PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
-- RANDY R HERNANDO PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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