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1003262635
PAUL EMERSON JAQUES
CORVALLIS, OR
NPI
1003262635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 61646)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
Mr. PAUL EMERSON JAQUES DPT
2350 NW CENTURY DR
CORVALLIS, OR 97330-3495
Phone number: 541-754-1265
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Mailing Address
Mr. PAUL EMERSON JAQUES DPT
444 NW ELKS DR
CORVALLIS, OR 97330-3745
Phone number: 541-754-1150
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