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1285327635
ROGUE VALLEY PAIN PHYSICAL & REGENERATIVE MEDICINE LLC
MEDFORD, OR
NPI
1285327635
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Entity Type
Organization
Authorized Contact
ERIC WRUCK
Owner
808-250-1166
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
ROGUE VALLEY PAIN PHYSICAL & REGENERATIVE MEDICINE LLC
845 ALDER CREEK DR
MEDFORD, OR 97504-8900
Phone number: 541-200-0924
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Mailing Address
ROGUE VALLEY PAIN PHYSICAL & REGENERATIVE MEDICINE LLC
4951 GRIFFIN CREEK RD
MEDFORD, OR 97501-9586
Phone number: 541-200-0924
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