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1710651153
KEENAN J PHALAN
BEND, OR
NPI
1710651153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
Enumeration Date
2021-08-08
Last Update Date
2021-08-08
Business Address
KEENAN J PHALAN
900 NE 27TH ST
BEND, OR 97701-9548
Phone number: 360-622-6488
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Mailing Address
KEENAN J PHALAN
61813 SE WHITEFISH CT
BEND, OR 97702-8846
Phone number:
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