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1780423111
JAMIE L RICHARDSON
MILWAUKIE, OR
NPI
1780423111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 077601)
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
JAMIE L RICHARDSON PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 563-340-5531
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Mailing Address
JAMIE L RICHARDSON PTA
5125 TAYLOR ST
DAVENPORT, IA 52806-3756
Phone number: 563-340-5531
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