ROGUE FUNCTIONAL WELLNESS LLC

MEDFORD, OR
NPI1336485846
Entity TypeOrganization
Authorized ContactJASON JEX
Owner
541-326-4294
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2013-01-02
Last Update Date2015-09-27
Business Address
ROGUE FUNCTIONAL WELLNESS LLC
761 GOLF VIEW DR STE C
MEDFORD, OR 97504-9655
Phone number: 541-326-4294
Mailing Address
ROGUE FUNCTIONAL WELLNESS LLC
761 GOLF VIEW DR STE C
MEDFORD, OR 97504-9655
Phone number: 541-326-4294
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