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1750523601
RENEE MONIQUE BALLEW
TUALATIN, OR
NPI
1750523601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 15069)
Enumeration Date
2009-03-24
Last Update Date
2009-03-24
Business Address
Mrs. RENEE MONIQUE BALLEW LMT
8325 SW MOHAWK ST. APT #153
TUALATIN, OR 97062
Phone number: 503-691-8572
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Mailing Address
Mrs. RENEE MONIQUE BALLEW LMT
8325 SW MOHAWK ST. APT #153
TUALATIN, OR 97062
Phone number: 503-691-8572
Copy
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