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1720249840
KELLI BURK IRANSHAD
WILSONVILLE, OR
NPI
1720249840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1024601)
Enumeration Date
2008-06-20
Last Update Date
2008-06-20
Business Address
-- KELLI BURK IRANSHAD OTR/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 503-570-3665
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Mailing Address
-- KELLI BURK IRANSHAD OTR/L
13692 SE GANNON DR
CLACKAMAS, OR 97015-6416
Phone number: 503-558-9077
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