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1730456518
PETER GROHS
CORVALLIS, OR
NPI
1730456518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR AT-AT-10144815)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
PETER GROHS ATC/R
211 DIXON RECREATION CTR
CORVALLIS, OR 97331-8501
Phone number: 541-737-9348
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Mailing Address
PETER GROHS ATC/R
3299 SW CHINTIMINI AVE
CORVALLIS, OR 97333-1530
Phone number:
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