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1164618823
PHILIP RAYMOND LENTZ
FOREST GROVE, OR
NPI
1164618823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR ATAT10118984)
Enumeration Date
2007-09-17
Last Update Date
2007-09-17
Business Address
PHILIP RAYMOND LENTZ ATC, MS
2043 COLLEGE WAY PAC CENTER
FOREST GROVE, OR 97116-1756
Phone number: 503-352-2014
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Mailing Address
PHILIP RAYMOND LENTZ ATC, MS
2043 COLLEGE WAY PAC CENTER
FOREST GROVE, OR 97116
Phone number: 503-352-2014
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