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1194174334
BRIAN R DIRKX
SALEM, OR
NPI
1194174334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 9185)
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
-- BRIAN R DIRKX
6250 COMMERCIAL ST SE
SALEM, OR 97306-1333
Phone number: 503-485-1666
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Mailing Address
-- BRIAN R DIRKX
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-8923
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