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1588063366
BRENDA JACOB
MILWAUKIE, OR
NPI
1588063366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08569)
Enumeration Date
2014-08-18
Last Update Date
2014-08-18
Business Address
-- BRENDA JACOB PTA
12045 SE STANLEY AVE
MILWAUKIE, OR 97222-2938
Phone number: 503-659-2323
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Mailing Address
-- BRENDA JACOB PTA
6111 SW BEAVERTON HILLSDALE HWY APT 18
PORTLAND, OR 97221-1161
Phone number: 971-226-1391
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