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1215313788
LUKE GODFREY
GRANTS PASS, OR
NPI
1215313788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09216)
Enumeration Date
2015-08-06
Last Update Date
2015-08-06
Business Address
-- LUKE GODFREY PTA
625 SW RAMSEY AVE STE. B
GRANTS PASS, OR 97527-5808
Phone number: 541-479-6979
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Mailing Address
-- LUKE GODFREY PTA
625 SW RAMSEY AVE STE. B
GRANTS PASS, OR 97527-5808
Phone number: 541-479-6979
Copy
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