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1558092759
SHELBY JOY SACKETT
MEDFORD, OR
NPI
1558092759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA218037)
Enumeration Date
2022-06-20
Last Update Date
2023-11-16
Business Address
SHELBY JOY SACKETT PA-C
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504-5590
Phone number: 541-732-7874
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Mailing Address
SHELBY JOY SACKETT PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-7874
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