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1063426518
RICHARD F JERGENSEN
MEDFORD, OR
NPI
1063426518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9422)
Additional Taxonomies
122300000X Dentist
(Licence: CA 27771)
Enumeration Date
2006-07-28
Last Update Date
2016-12-29
Business Address
Dr. RICHARD F JERGENSEN DDS
11 ROSSANLEY DR
MEDFORD, OR 97501-1713
Phone number: 541-973-2983
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Mailing Address
Dr. RICHARD F JERGENSEN DDS
2440 QUAIL RUN B-1
MEDFORD, OR 97504-6307
Phone number: 541-973-2983
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