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1114619004
JAN BLAS
BEND, OR
NPI
1114619004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 65215)
Enumeration Date
2023-05-22
Last Update Date
2024-06-12
Business Address
JAN BLAS PT
1539 NW IOWA AVE
BEND, OR 97703-1005
Phone number: 407-808-0025
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Mailing Address
JAN BLAS PT
1539 NW IOWA AVE
BEND, OR 97703-1005
Phone number: 407-808-0025
Copy
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