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Individual

GAVIN KLEIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2205 ASHLAND ST, UNIT 104, ASHLAND, OR 97520-1971
(541) 482-0242
(541) 482-0231
Mailing address
2205 ASHLAND ST, UNIT 104, ASHLAND, OR 97520-1971
(541) 482-0242
(541) 482-0231

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19511
CA
225100000X
Physical Therapist
Primary
4847
OR

Other

Enumeration date
01/13/2009
Last updated
04/14/2009
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