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1962748343
ANDREA LACOURSE
PORTLAND, OR
NPI
1962748343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 303124)
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
-- ANDREA LACOURSE OTR/L
205 NE 156TH AVE
PORTLAND, OR 97230-4816
Phone number: 607-351-9910
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Mailing Address
-- ANDREA LACOURSE OTR/L
205 NE 156TH AVE
PORTLAND, OR 97230-4816
Phone number: 607-351-9910
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