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1083930903
EMILY MAKAIAH WING
MEDFORD, OR
NPI
1083930903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA150408)
Enumeration Date
2010-04-16
Last Update Date
2019-01-17
Business Address
EMILY MAKAIAH WING PA-C
2859 STATE ST STE 103
MEDFORD, OR 97504
Phone number: 541-282-6580
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Mailing Address
EMILY MAKAIAH WING PA-C
2859 STATE ST STE 103
MEDFORD, OR 97504-8495
Phone number: 541-282-6580
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