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1942619374
JACOB ANDERSON
MEDFORD, OR
NPI
1942619374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 61434)
Enumeration Date
2014-08-11
Last Update Date
2024-11-14
Business Address
JACOB ANDERSON PT
2585 W MCANDREWS RD
MEDFORD, OR 97501-2244
Phone number: 541-500-7474
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Mailing Address
JACOB ANDERSON PT
2585 W MCANDREWS RD
MEDFORD, OR 97501-2244
Phone number: 541-500-7474
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