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1801216775
ROBERT ROOSA
CORVALLIS, OR
NPI
1801216775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10151745)
Enumeration Date
2014-04-18
Last Update Date
2014-04-18
Business Address
-- ROBERT ROOSA ATC
1128 NE 2ND ST SUITE 201
CORVALLIS, OR 97330-6230
Phone number: 541-757-8100
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Mailing Address
-- ROBERT ROOSA ATC
1128 NE 2ND ST SUITE 201
CORVALLIS, OR 97330-6230
Phone number: 541-757-8100
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