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1679960132
KEANNA GROSS
WILSONVILLE, OR
NPI
1679960132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2015-04-22
Last Update Date
2015-04-22
Business Address
KEANNA GROSS
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 360-736-9384
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Mailing Address
KEANNA GROSS
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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