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1215275367
JEFFREY ALAN HARDISTY
EUGENE, OR
NPI
1215275367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR 690411)
Enumeration Date
2013-01-24
Last Update Date
2013-01-24
Business Address
Mr. JEFFREY ALAN HARDISTY ACSM CPT
2420 CANTERBURY ST
EUGENE, OR 97404-1901
Phone number: 541-729-2920
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Mailing Address
Mr. JEFFREY ALAN HARDISTY ACSM CPT
2420 CANTERBURY ST
EUGENE, OR 97404-1901
Phone number: 541-729-2920
Copy
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