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1508630856
LIVING WELL MEDICAL, LLC
BROOKINGS, OR
NPI
1508630856
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Entity Type
Organization
Authorized Contact
STACY RAE KREGER
Np/Owner
541-813-1505
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2023-11-07
Last Update Date
2024-02-08
Business Address
LIVING WELL MEDICAL, LLC
524 SPRUCE ST STE 5
BROOKINGS, OR 97415-0407
Phone number: 541-813-1505
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Mailing Address
LIVING WELL MEDICAL, LLC
PO BOX 488
BROOKINGS, OR 97415-0043
Phone number: 541-813-1505
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