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Individual

DR. TYLER JEPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1182 SW 4TH AVENUE, ONTARIO, OR 97914
(541) 881-0970
(541) 881-0971
Mailing address
1182 SW 4TH AVENUE, ONTARIO, OR 97914
(541) 881-0970
(541) 881-0971

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2138
ID

Other

Enumeration date
05/09/2011
Last updated
05/09/2011
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