CHANCE FAHNDRICH

MEDFORD, OR
NPI1538828686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  202112433)
Enumeration Date2021-12-15
Last Update Date2021-12-15
Business Address
CHANCE FAHNDRICH
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 154-177-2276
Mailing Address
CHANCE FAHNDRICH
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 154-177-2276
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