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1982034286
JEREMY KENNEDY
PORTLAND, OR
NPI
1982034286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 06629)
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
-- JEREMY KENNEDY
5413 SE WASHINGTON STREET
PORTLAND, OR 97215
Phone number: 985-630-7912
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Mailing Address
-- JEREMY KENNEDY
5423 SE WASHINGTON STREET
PORTLAND, OR 97215
Phone number:
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