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1770222853
KJELL M THORSEN
GRANTS PASS, OR
NPI
1770222853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 64526)
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
Mr. KJELL M THORSEN DPT
1328 NW 6TH ST
GRANTS PASS, OR 97526-1255
Phone number: 541-476-4010
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Mailing Address
Mr. KJELL M THORSEN DPT
PO BOX 774
GRANTS PASS, OR 97528-0066
Phone number: 541-476-4010
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