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1558303073
DONNEL T DIMOND
BEAVERTON, OR
NPI
1558303073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR PT4750)
Enumeration Date
2006-06-11
Last Update Date
2016-07-21
Business Address
-- DONNEL T DIMOND PT
735 SW 158TH AVE STE 102
BEAVERTON, OR 97006-4952
Phone number: 503-597-0035
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Mailing Address
-- DONNEL T DIMOND PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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