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1679517254
JOEL THOMAS GRAY
PORTLAND, OR
NPI
1679517254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-550954)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
-- JOEL THOMAS GRAY AT/R
6300 SW NICOL RD
PORTLAND, OR 97223-7566
Phone number: 503-416-9358
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Mailing Address
-- JOEL THOMAS GRAY AT/R
8836 SW 49TH AVE
PORTLAND, OR 97219-3371
Phone number: 503-245-1866
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