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1568975670
ALLISON GILLOCK
PORTLAND, OR
NPI
1568975670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09215)
Enumeration Date
2017-11-10
Last Update Date
2017-11-10
Business Address
ALLISON GILLOCK PTA
4616 N ALBINA AVE
PORTLAND, OR 97217-3012
Phone number: 503-335-9980
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Mailing Address
ALLISON GILLOCK PTA
4616 N ALBINA AVE
PORTLAND, OR 97217-3012
Phone number: 503-335-9980
Copy
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