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1578012985
SUSAN HOLZEM
PORTLAND, OR
NPI
1578012985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 20284)
Enumeration Date
2016-09-26
Last Update Date
2016-09-26
Business Address
-- SUSAN HOLZEM Oregon LMT 20284
2505 SE 11TH AVE SUITE 218
PORTLAND, OR 97202-1061
Phone number: 503-839-6259
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Mailing Address
-- SUSAN HOLZEM Oregon LMT 20284
6327 SE 63RD AVE
PORTLAND, OR 97206-6607
Phone number: 503-839-6259
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