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1760863831
STACEE WELLS
TUALATIN, OR
NPI
1760863831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09192)
Enumeration Date
2015-06-15
Last Update Date
2015-06-15
Business Address
-- STACEE WELLS PTA
19945 SW BOONES FERRY RD
TUALATIN, OR 97062-7272
Phone number: 503-612-5400
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Mailing Address
-- STACEE WELLS PTA
2420 NE LYNDA LN
BEND, OR 97701-5872
Phone number:
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