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1821342429
STEPHANIE NICOLE REEDY
SALEM, OR
NPI
1821342429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: OR 19158)
Enumeration Date
2012-11-04
Last Update Date
2012-11-04
Business Address
-- STEPHANIE NICOLE REEDY LMT
2515 LIBERTY ST NE
SALEM, OR 97301-8386
Phone number: 503-798-1718
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Mailing Address
-- STEPHANIE NICOLE REEDY LMT
1615 STATE ST
SALEM, OR 97301-4258
Phone number: 503-798-1718
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