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1538390257
ELIZABETH A ANDERSON
STAYTON, OR
NPI
1538390257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8609)
Enumeration Date
2009-07-29
Last Update Date
2009-07-29
Business Address
-- ELIZABETH A ANDERSON PTA
601 N 1ST ST
STAYTON, OR 97383-1704
Phone number: 503-769-3123
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Mailing Address
-- ELIZABETH A ANDERSON PTA
314 APPLE ST
SILVERTON, OR 97381-2002
Phone number: 503-551-0194
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