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1770637423
JODY LYNN CHARLES
MILWAUKIE, OR
NPI
1770637423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT260)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- JODY LYNN CHARLES OTRL
4560 SE INTERNATIONAL WAY SUITE 100
MILWAUKIE, OR 97222
Phone number: 971-206-5129
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Mailing Address
-- JODY LYNN CHARLES OTRL
380 N PROCYON PL
STAR, ID 83669
Phone number: 208-286-7235
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