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1710321476
KERRY G. KUSCHNICK
LEBANON, OR
NPI
1710321476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR 08893)
Enumeration Date
2013-04-24
Last Update Date
2013-04-24
Business Address
Mr. KERRY G. KUSCHNICK PTA
2560 S 5TH ST
LEBANON, OR 97355-2456
Phone number: 541-570-1273
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Mailing Address
Mr. KERRY G. KUSCHNICK PTA
2560 S 5TH ST
LEBANON, OR 97355-2456
Phone number: 541-570-1273
Copy