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1265912752
CODY HATFIELD
ROSEBURG, OR
NPI
1265912752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR 62707)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
CODY HATFIELD
470 NE STEPHENS ST STE 102
ROSEBURG, OR 97470-3158
Phone number: 541-673-5770
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Mailing Address
CODY HATFIELD
470 NE STEPHENS ST STE 102
ROSEBURG, OR 97470-3158
Phone number: 541-673-5770
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