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1770617235
MICHAEL SERVANT
ASHLAND, OR
NPI
1770617235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 3323)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
MICHAEL SERVANT MPT
308 N LAUREL ST
ASHLAND, OR 97520-1111
Phone number: 541-482-9182
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Mailing Address
MICHAEL SERVANT MPT
308 N LAUREL ST
ASHLAND, OR 97520-1111
Phone number: 541-482-9182
Copy
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