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1053096073
JALEN SHEGRUD
GRANTS PASS, OR
NPI
1053096073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 9934)
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
JALEN SHEGRUD
1710 NE FAIRVIEW AVE
GRANTS PASS, OR 97526-3877
Phone number: 541-479-2606
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Mailing Address
JALEN SHEGRUD
2179 SHANE WAY
GRANTS PASS, OR 97527-4249
Phone number: 218-368-8674
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