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1295258929
GARRETT JACK HOGGARTH
GRANTS PASS, OR
NPI
1295258929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09313)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
GARRETT JACK HOGGARTH PTA
1485 NE 7TH ST
GRANTS PASS, OR 97526
Phone number: 541-479-6936
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Mailing Address
GARRETT JACK HOGGARTH PTA
1485 NE 7TH ST
GRANTS PASS, OR 97526-1303
Phone number:
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