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1083662399
TED IWAMIZU
GRANTS PASS, OR
NPI
1083662399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4225)
Enumeration Date
2006-05-05
Last Update Date
2007-07-08
Business Address
Mr. TED IWAMIZU
873 NE 7TH ST
GRANTS PASS, OR 97526-1634
Phone number: 541-474-6955
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Mailing Address
Mr. TED IWAMIZU
1440 SE ROGUE DR
GRANTS PASS, OR 97526-4065
Phone number: 541-471-2226
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