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1417483116
AUSTIN CLARK GIBBS
KEIZER, OR
NPI
1417483116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 65957)
Enumeration Date
2017-05-02
Last Update Date
2026-01-20
Business Address
AUSTIN CLARK GIBBS PT, DPT
4843 VERDA LN NE APT 202
KEIZER, OR 97303-2364
Phone number: 503-583-4017
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Mailing Address
AUSTIN CLARK GIBBS PT, DPT
4843 VERDA LN NE APT 202
KEIZER, OR 97303-2364
Phone number: 503-583-4017
Copy
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