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1912422262
KATIE ANDERSON
FOREST GROVE, OR
NPI
1912422262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10145959)
Enumeration Date
2017-08-08
Last Update Date
2022-07-21
Business Address
KATIE ANDERSON
2043 COLLEGE WAY
FOREST GROVE, OR 97116-1756
Phone number: 503-352-2287
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Mailing Address
KATIE ANDERSON
2043 COLLEGE WAY
FOREST GROVE, OR 97116-1756
Phone number: 503-352-2287
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