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1538667662
CASCADE FAMILY PRACTICE, LLC
MEDFORD, OR
NPI
1538667662
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Entity Type
Organization
Authorized Contact
DEBORAH BOLES
Owner
541-840-3633
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
CASCADE FAMILY PRACTICE, LLC
21 HAWTHORNE ST
MEDFORD, OR 97504-7113
Phone number: 541-203-7558
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Mailing Address
CASCADE FAMILY PRACTICE, LLC
21 HAWTHORNE ST
MEDFORD, OR 97504-7113
Phone number: 541-203-7558
Copy
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