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1205305190
WHITE OAK MEDICAL CLINIC LLC
ROSEBURG, OR
NPI
1205305190
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Entity Type
Organization
Authorized Contact
DIANE BOLDUC
President
541-464-5907
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
WHITE OAK MEDICAL CLINIC LLC
340 NW MEDICAL LOOP
ROSEBURG, OR 97471-1645
Phone number: 541-464-5907
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Mailing Address
WHITE OAK MEDICAL CLINIC LLC
340 NW MEDICAL LOOP
ROSEBURG, OR 97471-1645
Phone number: 541-464-5907
Copy
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