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1740832559
KELLI MENDIAZ
ROSEBURG, OR
NPI
1740832559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2019-07-11
Last Update Date
2023-11-27
Business Address
KELLI MENDIAZ
1000 SE STEPHENS ST
ROSEBURG, OR 97470-4818
Phone number: 541-900-1418
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Mailing Address
KELLI MENDIAZ
1000 SE STEPHENS ST
ROSEBURG, OR 97470-4818
Phone number: 541-900-1418
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