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1013340660
JERIMIAH MACDONALD
ROSEBURG, OR
NPI
1013340660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 4206)
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
-- JERIMIAH MACDONALD PT
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-440-1000
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Mailing Address
-- JERIMIAH MACDONALD PT
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number:
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