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1528191301
KRISTA JEANNE GAULT
REDMOND, OR
NPI
1528191301
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Former Name
KRISTA JEANNE FERGUSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist Geriatrics
(Licence: OR 2364)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
KRISTA JEANNE GAULT PT
3025 SW RESERVOIR RD
REDMOND, OR 97756-9481
Phone number: 541-548-5066
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Mailing Address
KRISTA JEANNE GAULT PT
2845 SW 37TH CT
REDMOND, OR 97756-8307
Phone number: 541-504-6965
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