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1902621758
ELIZABETH PENALOZA
ALBANY, OR
NPI
1902621758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 9977)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
ELIZABETH PENALOZA
317 1ST AVE NW # 103
ALBANY, OR 97321-2225
Phone number: 541-812-5254
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Mailing Address
ELIZABETH PENALOZA
1420 HILL ST SE
ALBANY, OR 97322-6712
Phone number: 541-401-2651
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