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1295211456
THOMAS MATTHEW GUASTAVINO
EUGENE, OR
NPI
1295211456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09582)
Enumeration Date
2018-07-11
Last Update Date
2018-07-12
Business Address
THOMAS MATTHEW GUASTAVINO PTA
1282 GOODPASTURE ISLAND RD
EUGENE, OR 97401
Phone number: 541-246-2828
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Mailing Address
THOMAS MATTHEW GUASTAVINO PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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