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1285458851
SD WELLNESS LLC
MEDFORD, OR
NPI
1285458851
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Entity Type
Organization
Authorized Contact
SHONDELL DIAZ
Physician Associate
203-305-9859
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
SD WELLNESS LLC
325 S RIVERSIDE AVE UNIT 145
MEDFORD, OR 97501-0811
Phone number: 203-305-9859
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Mailing Address
SD WELLNESS LLC
PO BOX 145
MEDFORD, OR 97501-0010
Phone number:
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