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1083105761
BRUCE BALCITA
GRANTS PASS, OR
NPI
1083105761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-05-29
Last Update Date
2020-08-25
Business Address
BRUCE BALCITA DPT
337 UNION AVE STE D
GRANTS PASS, OR 97527-5574
Phone number: 541-974-8572
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Mailing Address
BRUCE BALCITA DPT
337 UNION AVE STE D
GRANTS PASS, OR 97527-5574
Phone number: 541-974-8572
Copy
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