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1154578193
PAUL G DIETRICH
MILWAUKIE, OR
NPI
1154578193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 83-019)
Enumeration Date
2008-08-21
Last Update Date
2008-08-21
Business Address
Mr. PAUL G DIETRICH PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5167
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Mailing Address
Mr. PAUL G DIETRICH PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5167
Copy
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