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1659564037
NICOLE LEE LANEY
TIGARD, OR
NPI
1659564037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8369)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
-- NICOLE LEE LANEY PTA
10220 SW GREENBURG RD STE 201
TIGARD, OR 97223-5505
Phone number: 503-570-3665
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Mailing Address
-- NICOLE LEE LANEY PTA
5022 SW SLAVIN RD APT 19
PORTLAND, OR 97239-2838
Phone number: 503-704-3140
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