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1750547139
STACEY WAYNE DYKES
MILWAUKIE, OR
NPI
1750547139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 38)
Enumeration Date
2008-08-05
Last Update Date
2008-08-05
Business Address
Mr. STACEY WAYNE DYKES OTA
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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Mailing Address
Mr. STACEY WAYNE DYKES OTA
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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