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1578753778
PHAEDRA ANN URBAN
PORTLAND, OR
NPI
1578753778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 012829)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
Mrs. PHAEDRA ANN URBAN
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 503-494-8095
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Mailing Address
Mrs. PHAEDRA ANN URBAN
2241 LLOYD CTR
PORTLAND, OR 97232-1315
Phone number: 503-494-8417
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