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1245547744
CENTENNIAL MEDICAL GROUP WEST, LLC
ROSEBURG, OR
NPI
1245547744
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Entity Type
Organization
Authorized Contact
DOUGLAS KLEBE
Officer
541-677-3650
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2010-09-03
Last Update Date
2017-03-07
Business Address
CENTENNIAL MEDICAL GROUP WEST, LLC
2801 NW MERCY DR. STE. 340
ROSEBURG, OR 97471
Phone number: 541-677-4319
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Mailing Address
CENTENNIAL MEDICAL GROUP WEST, LLC
2801 NW MERCY DR. STE. 340
ROSEBURG, OR 97471
Phone number: 541-677-4319
Copy
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