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1649456203
BLANKA NYVLT
TIGARD, OR
NPI
1649456203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 11749)
Enumeration Date
2008-01-14
Last Update Date
2008-02-19
Business Address
-- BLANKA NYVLT LMT
7357 SW BEVELAND RD SUITE 200
TIGARD, OR 97223-8844
Phone number: 503-670-4941
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Mailing Address
-- BLANKA NYVLT LMT
4629 LAKEVIEW BLVD
LAKE OSWEGO, OR 97035-5453
Phone number: 503-803-6671
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