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1235788209
GEORGETTE LE GOVENOR
MEDFORD, OR
NPI
1235788209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247000000X Technician, Health Information
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
GEORGETTE LE GOVENOR
3397 DELTA WATERS RD
MEDFORD, OR 97504-5852
Phone number: 541-772-4648
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Mailing Address
GEORGETTE LE GOVENOR
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-4648
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