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1700193984
SEPHANIE RACHEL PESA
PORTLAND, OR
NPI
1700193984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: IL 147.001364)
Enumeration Date
2010-09-09
Last Update Date
2010-12-25
Business Address
-- SEPHANIE RACHEL PESA Au.D.
3710 SW US VETERANS HOSPITAL RD BLDG 100 ROOM 1D 103
PORTLAND, OR 97239-2964
Phone number: 630-913-1238
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Mailing Address
-- SEPHANIE RACHEL PESA Au.D.
PO BOX 1034 MAIL CODE P2AUD
PORTLAND, OR 97207-1034
Phone number: 630-913-1238
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