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1568811768
DIANA GANAHL
SALEM, OR
NPI
1568811768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7715)
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
-- DIANA GANAHL PTA
4132 DEVONSHIRE CT NE
SALEM, OR 97305-1982
Phone number: 503-364-5313
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Mailing Address
-- DIANA GANAHL PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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