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1508277906
KENDRA RENEE LARATTA
GRANTS PASS, OR
NPI
1508277906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08903)
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
-- KENDRA RENEE LARATTA PTA
1485 NE 7TH ST
GRANTS PASS, OR 97526-1303
Phone number: 800-958-2588
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Mailing Address
-- KENDRA RENEE LARATTA PTA
4201 COYOTE CREEK RD
WOLF CREEK, OR 97497-9609
Phone number: 541-441-6302
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