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1194987107
GIJSBERT JEROEN LAPORT
SALEM, OR
NPI
1194987107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2803)
Enumeration Date
2008-06-30
Last Update Date
2008-06-30
Business Address
Mr. GIJSBERT JEROEN LAPORT RPT
4515 SUNNYSIDE RD SE
SALEM, OR 97302-3928
Phone number: 503-370-8284
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Mailing Address
Mr. GIJSBERT JEROEN LAPORT RPT
4515 SUNNYSIDE RD SE
SALEM, OR 97302-3928
Phone number: 503-370-8284
Copy
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