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1972922409
JENNA E KANDRAVI GATES
BEND, OR
NPI
1972922409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 60520)
Enumeration Date
2014-04-11
Last Update Date
2023-01-20
Business Address
JENNA E KANDRAVI GATES PT
20995 NE LEGEND PL
BEND, OR 97701-7759
Phone number: 541-728-8013
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Mailing Address
JENNA E KANDRAVI GATES PT
2 KEEWAYDIN DR
SALEM, NH 03079-2839
Phone number: 800-995-2673
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