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1871128835
DYLAN FORS
ROSEBURG, OR
NPI
1871128835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63579)
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
DYLAN FORS PT
2040 NW NEWCASTLE ST
ROSEBURG, OR 97471-1657
Phone number: 541-673-1808
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Mailing Address
DYLAN FORS PT
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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