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1922527878
EVAN AMELUXEN-COLEMAN
PRINEVILLE, OR
NPI
1922527878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62505)
Enumeration Date
2017-09-12
Last Update Date
2017-09-15
Business Address
EVAN AMELUXEN-COLEMAN
1590 NE 3RD ST STE B
PRINEVILLE, OR 97754-2916
Phone number: 541-416-7476
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Mailing Address
EVAN AMELUXEN-COLEMAN
805 SW INDUSTRIAL WAY STE 3
BEND, OR 97702-1093
Phone number:
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