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1902150410
NICOLE SARA LATESSA
MILWAUKIE, OR
NPI
1902150410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 06920)
Enumeration Date
2012-11-06
Last Update Date
2012-11-06
Business Address
Mrs. NICOLE SARA LATESSA DPT
12045 SOUTHEAST STANLEY AVE
MILWAUKIE, OR 97222
Phone number: 503-659-2323
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Mailing Address
Mrs. NICOLE SARA LATESSA DPT
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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