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1568854016
LARISA NOONAN
PORTLAND, OR
NPI
1568854016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 9384)
Enumeration Date
2015-02-20
Last Update Date
2015-02-20
Business Address
-- LARISA NOONAN lmt
3804 SE BELMONT ST
PORTLAND, OR 97214-4330
Phone number: 503-975-3300
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Mailing Address
-- LARISA NOONAN lmt
597 W VISTA AVE S
SALEM, OR 97302-5573
Phone number: 503-975-3300
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