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1427091487
JOHN SOUKUP
COOS BAY, OR
NPI
1427091487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6090)
Enumeration Date
2006-06-14
Last Update Date
2009-10-19
Business Address
-- JOHN SOUKUP PT, MTC
1650 THOMPSON RD
COOS BAY, OR 97420-2170
Phone number: 541-269-7212
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Mailing Address
-- JOHN SOUKUP PT, MTC
1650 THOMPSON RD
COOS BAY, OR 97420-2170
Phone number: 541-269-7212
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