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1780141390
KAITLIN ELIZABETH DEVINE
SALEM, OR
NPI
1780141390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
(Licence: OR 20599)
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
Mrs. KAITLIN ELIZABETH DEVINE LMT
1505 WATER ST NE
SALEM, OR 97301-6467
Phone number: 503-507-6443
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Mailing Address
Mrs. KAITLIN ELIZABETH DEVINE LMT
310 N LARCH AVE
STAYTON, OR 97383-1556
Phone number: 503-507-6443
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