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1184773954
KENNETH W SMITH
PRINEVILLE, OR
NPI
1184773954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 0963)
Enumeration Date
2007-01-09
Last Update Date
2007-10-09
Business Address
Mr. KENNETH W SMITH P.T.
1251 NE ELM ST STE 2-A
PRINEVILLE, OR 97754-1206
Phone number: 541-447-6846
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Mailing Address
Mr. KENNETH W SMITH P.T.
1251 NE ELM ST STE 2-A
PRINEVILLE, OR 97754-1206
Phone number: 541-447-6846
Copy
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