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1114249851
RENAN LACSON GAPASIN
FLORENCE, OR
NPI
1114249851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5572)
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
-- RENAN LACSON GAPASIN
1951 21ST ST
FLORENCE, OR 97439-9771
Phone number: 541-997-8436
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Mailing Address
-- RENAN LACSON GAPASIN
4480 HIGHWAY 101 APT 13
FLORENCE, OR 97439-8831
Phone number: 360-980-1647
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