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1538223706
RENSKE ELVIRA ROSE
SALEM, OR
NPI
1538223706
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Former Name
RENSKE ELVIRA WIERSTRA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 3834)
Enumeration Date
2006-12-21
Last Update Date
2018-04-05
Business Address
RENSKE ELVIRA ROSE MPT
2521 BOONE RD SE STE 100
SALEM, OR 97306-9391
Phone number: 503-585-5131
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Mailing Address
RENSKE ELVIRA ROSE MPT
685 36TH AVE NE
SALEM, OR 97301-4741
Phone number: 503-540-8701
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