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1326864059
PROTEAN DERMATOLOGY CONSULTING, LLC
BEND, OR
NPI
1326864059
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Entity Type
Organization
Authorized Contact
JOHN E JACKSON
Physician Owner
855-457-5593
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
PROTEAN DERMATOLOGY CONSULTING, LLC
360 SW BOND ST STE 310
BEND, OR 97702-3556
Phone number: 855-457-5593
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Mailing Address
PROTEAN DERMATOLOGY CONSULTING, LLC
360 SW BOND ST STE 310
BEND, OR 97702-3556
Phone number: 855-457-5593
Copy
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