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1912292871
ELYSE RAE JENNER
EUGENE, OR
NPI
1912292871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4963)
Enumeration Date
2011-06-17
Last Update Date
2011-06-17
Business Address
Miss ELYSE RAE JENNER P.T.
598 E 13TH AVE
EUGENE, OR 97401-4267
Phone number: 541-636-3473
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Mailing Address
Miss ELYSE RAE JENNER P.T.
PO BOX 1377
EUGENE, OR 97440-1377
Phone number: 541-696-3473
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