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1528043304
WENDY LEE LARSON
PORTLAND, OR
NPI
1528043304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2525)
Enumeration Date
2005-12-14
Last Update Date
2007-11-17
Business Address
-- WENDY LEE LARSON PT
6274 SW CAPITOL HWY
PORTLAND, OR 97239-2674
Phone number: 503-246-3283
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Mailing Address
-- WENDY LEE LARSON PT
6274 SW CAPITOL HWY
PORTLAND, OR 97239-2674
Phone number: 503-246-3283
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