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1992056857
BETH W. MANTIS
EAGLE CREEK, OR
NPI
1992056857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: OR 18018)
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
-- BETH W. MANTIS LMT
29544 SE HEIPLE RD
EAGLE CREEK, OR 97022-9664
Phone number: 503-887-6070
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Mailing Address
-- BETH W. MANTIS LMT
29544 SE HEIPLE RD
EAGLE CREEK, OR 97022-9664
Phone number: 503-887-6070
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