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1912479072
EMILY KOSDERKA
PORTLAND, OR
NPI
1912479072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
EMILY KOSDERKA ATC
2811 NE HOLMAN ST
PORTLAND, OR 97211-6067
Phone number: 503-280-8525
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Mailing Address
EMILY KOSDERKA ATC
28825 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070-9516
Phone number:
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