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1477926616
ROSS BISERA
MEDFORD, OR
NPI
1477926616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09184)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
ROSS BISERA PTA
1904 SKY PARK DR
MEDFORD, OR 97504-4735
Phone number: 541-773-2999
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Mailing Address
ROSS BISERA PTA
3163 JUNIPER RDG APT 4
MEDFORD, OR 97504-5780
Phone number: 808-269-3028
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