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1730203928
GERALDINE DONNA WARNER
PORTLAND, OR
NPI
1730203928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2010)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Mr. GERALDINE DONNA WARNER PT
3600N INTERSTATE AVE
PORTLAND, OR 97227-1116
Phone number: 503-249-3399
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Mailing Address
Mr. GERALDINE DONNA WARNER PT
2801 NW 24TH AVE
CAMAS, WA 98607
Phone number: 360-834-3551
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