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1790451094
JONAH SAMUEL KOSKI
BEND, OR
NPI
1790451094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR 64202)
Enumeration Date
2021-08-18
Last Update Date
2023-02-22
Business Address
JONAH SAMUEL KOSKI PT, DPT
1310 SE REED MARKET RD
BEND, OR 97702-3583
Phone number: 503-610-9281
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Mailing Address
JONAH SAMUEL KOSKI PT, DPT
1310 SE REED MARKET RD STE 130
BEND, OR 97702-3584
Phone number: 503-610-9281
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