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1346695236
NATHANIEL FONDELL
MEDFORD, OR
NPI
1346695236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD195368)
Enumeration Date
2016-04-27
Last Update Date
2021-12-16
Business Address
NATHANIEL FONDELL M.D.
910 S CENTRAL AVE
MEDFORD, OR 97501-7822
Phone number: 541-618-1380
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Mailing Address
NATHANIEL FONDELL M.D.
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-535-6239
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