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1215246970
KNUT SKYBAK
GRESHAM, OR
NPI
1215246970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6292)
Enumeration Date
2010-09-29
Last Update Date
2010-09-29
Business Address
-- KNUT SKYBAK pt
223 SW WILLOWBROOK DR
GRESHAM, OR 97080-6781
Phone number: 406-471-5201
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Mailing Address
-- KNUT SKYBAK pt
223 SW WILLOWBROOK DR
GRESHAM, OR 97080-6781
Phone number: 406-471-5201
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