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1972790707
PAUL GERARD KELLY
GRESHAM, OR
NPI
1972790707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2945)
Enumeration Date
2007-09-25
Last Update Date
2007-09-25
Business Address
Mr. PAUL GERARD KELLY MPT
405 NE 5TH ST
GRESHAM, OR 97030-7345
Phone number: 503-666-5600
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Mailing Address
Mr. PAUL GERARD KELLY MPT
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 503-570-3665
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