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1992069975
DENICE MICHELLE EDEAL
NEWBERG, OR
NPI
1992069975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 13086)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
-- DENICE MICHELLE EDEAL CCC-SLP
201 N MERIDIAN ST SUITE B
NEWBERG, OR 97132-2752
Phone number: 503-901-5652
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Mailing Address
-- DENICE MICHELLE EDEAL CCC-SLP
2000 NE 42ND AVE # 209
PORTLAND, OR 97213-1399
Phone number: 503-309-1089
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