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1780075853
MELISSA BRACKLE
WILSONVILLE, OR
NPI
1780075853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 771)
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
-- MELISSA BRACKLE
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 913-961-8451
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Mailing Address
-- MELISSA BRACKLE
1430 WATSON ST
FREMONT, NE 68025-2084
Phone number:
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