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1518787886
NICOLE MARIE MOORE PERULLO
BEND, OR
NPI
1518787886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17418)
Enumeration Date
2024-10-11
Last Update Date
2024-10-11
Business Address
NICOLE MARIE MOORE PERULLO M.S. CCC-SLP
2248 NW LEMHI PASS DR
BEND, OR 97703-6701
Phone number: 415-497-8150
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Mailing Address
NICOLE MARIE MOORE PERULLO M.S. CCC-SLP
2248 NW LEMHI PASS DR
BEND, OR 97703-6701
Phone number: 415-497-8150
Copy
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