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1871064618
STACEY A WENZEL
TIGARD, OR
NPI
1871064618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: OR 16420)
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
STACEY A WENZEL
17020 SW UPPER BOONES FERRY RD.,SUITE 201
TIGARD, OR 97224
Phone number: 503-894-1539
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Mailing Address
STACEY A WENZEL
17020 SW UPPER BOONES FERRY RD., SUITE 201
TIGARD, OR 97224
Phone number: 503-894-1539
Copy
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