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1265503312
SARA KIRSTIN EKELUND SLACK
CORVALLIS, OR
NPI
1265503312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5219)
Enumeration Date
2006-11-12
Last Update Date
2020-11-11
Business Address
Ms. SARA KIRSTIN EKELUND SLACK P.T., D.P.T.
815 NW 9TH ST SUITE180
CORVALLIS, OR 97330-6173
Phone number: 541-768-5157
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Mailing Address
Ms. SARA KIRSTIN EKELUND SLACK P.T., D.P.T.
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number:
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