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1720355225
KELLY MAKANA SMITH- LADORE
EUGENE, OR
NPI
1720355225
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Former Name
KELLY MAKANA SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 15393)
Enumeration Date
2011-11-28
Last Update Date
2016-05-23
Business Address
-- KELLY MAKANA SMITH- LADORE SLPA
425 ALEXANDER LOOP
EUGENE, OR 97401-6524
Phone number: 541-345-6199
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Mailing Address
-- KELLY MAKANA SMITH- LADORE SLPA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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