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1376820001
KURT EUGENE GREGORY
SANTA ROSA, CA
NPI
1376820001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 5797)
Enumeration Date
2011-11-09
Last Update Date
2011-11-09
Business Address
Mr. KURT EUGENE GREGORY P.T.A.
5555 MONTGOMERY DRIVE
SANTA ROSA, CA 95409
Phone number: 707-579-6972
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Mailing Address
Mr. KURT EUGENE GREGORY P.T.A.
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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