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1548090004
JACK GILLINGHAM
TALENT, OR
NPI
1548090004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: OR 65317)
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
Dr. JACK GILLINGHAM PT, DPT
288 S PACIFIC HWY
TALENT, OR 97540-6649
Phone number: 541-482-6360
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Mailing Address
Dr. JACK GILLINGHAM PT, DPT
36 HAWTHORNE ST
MEDFORD, OR 97504-7114
Phone number:
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