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1538634027
MIA SAMANTHA ENGALLA CALAMBA
MILWAUKIE, OR
NPI
1538634027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10656)
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
MIA SAMANTHA ENGALLA CALAMBA PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 510-367-3704
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Mailing Address
MIA SAMANTHA ENGALLA CALAMBA PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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