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1508226416
MARK DAVID BOUTROS
SALEM, OR
NPI
1508226416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 64192)
Enumeration Date
2016-03-04
Last Update Date
2016-03-04
Business Address
MARK DAVID BOUTROS PT, DPT
3270 LIBERTY RD S
SALEM, OR 97302
Phone number: 503-371-0779
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Mailing Address
MARK DAVID BOUTROS PT, DPT
3270 LIBERTY RD S
SALEM, OR 97302
Phone number: 503-371-0779
Copy
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