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1962001172
KAYCIE LINN BLANSHAN
LEBANON, OR
NPI
1962001172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224ZE0001X Occupational Therapy Assistant, Environmental Modification
(Licence: OR 348968)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
KAYCIE LINN BLANSHAN COTA/L
350 S 8TH ST
LEBANON, OR 97355-2242
Phone number: 541-259-1221
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Mailing Address
KAYCIE LINN BLANSHAN COTA/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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