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1750087607
KENDALL CERCONE
PORTLAND, OR
NPI
1750087607
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Former Name
KENDALL KOCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
KENDALL CERCONE PTA
6003 SE 136TH AVE
PORTLAND, OR 97236-4567
Phone number: 971-978-1268
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Mailing Address
KENDALL CERCONE PTA
1411 NW QUIMBY ST APT 312
PORTLAND, OR 97209-4090
Phone number: 330-671-5800
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