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1528671328
CHARITY M LICKFOLD
CLATSKANIE, OR
NPI
1528671328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
Enumeration Date
2020-08-31
Last Update Date
2022-02-21
Business Address
CHARITY M LICKFOLD MFP, CPT, CNC
580 NE POPLAR ST
CLATSKANIE, OR 97016-7470
Phone number: 208-704-7632
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Mailing Address
CHARITY M LICKFOLD MFP, CPT, CNC
PO BOX 555
CLATSKANIE, OR 97016-0555
Phone number: 208-704-7632
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