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1194912808
PROACTIVE HEALTH LLC
BEND, OR
NPI
1194912808
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Entity Type
Organization
Authorized Contact
SUSAN HART
Director
541-389-8714
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OR 000029202N1,,N2,N6)
Enumeration Date
2007-09-26
Last Update Date
2016-11-16
Business Address
PROACTIVE HEALTH LLC
62968 O B RILEY RD #16
BEND, OR 97703-9442
Phone number: 541-389-8714
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Mailing Address
PROACTIVE HEALTH LLC
62968 O B RILEY RD E2-16
BEND, OR 97703-9442
Phone number: 541-389-8714
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