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1275842551
RAUL AGGABAO GAMMARU
SALEM, OR
NPI
1275842551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62166)
Enumeration Date
2010-10-04
Last Update Date
2020-07-28
Business Address
Mr. RAUL AGGABAO GAMMARU PT
2216 TEAKWOOD AVE NW
SALEM, OR 97304-1344
Phone number: 503-684-0311
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Mailing Address
Mr. RAUL AGGABAO GAMMARU PT
2216 TEAKWOOD AVE NW
SALEM, OR 97304-1344
Phone number: 503-684-0311
Copy
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