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1629466800
BRUCE K LAWRENCE
MEDFORD, OR
NPI
1629466800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 06711)
Enumeration Date
2014-12-23
Last Update Date
2019-08-14
Business Address
BRUCE K LAWRENCE D.P.T
965 ELLENDALE DR
MEDFORD, OR 97504
Phone number: 541-734-3450
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Mailing Address
BRUCE K LAWRENCE D.P.T
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-3450
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