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1215596101
MITCHELL V PRUNK
ALBANY, OR
NPI
1215596101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63232)
Enumeration Date
2019-06-13
Last Update Date
2023-10-17
Business Address
MITCHELL V PRUNK DPT
400 HICKORY ST NW STE 201
ALBANY, OR 97321-1700
Phone number: 541-812-5840
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Mailing Address
MITCHELL V PRUNK DPT
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number:
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