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1164925673
MICHAEL SHANE KERSTEN
EUGENE, OR
NPI
1164925673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62642)
Enumeration Date
2018-03-10
Last Update Date
2018-03-10
Business Address
MICHAEL SHANE KERSTEN
2675 WILLAMETTE ST
EUGENE, OR 97405-3134
Phone number: 541-343-8889
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Mailing Address
MICHAEL SHANE KERSTEN
20 E 19TH AVE
EUGENE, OR 97401-4058
Phone number:
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