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1568591998
TERRI B FAGAN
MEDFORD, OR
NPI
1568591998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 9500954N1)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- TERRI B FAGAN FNP
2825 E BARNETT RD
MEDFORD, OR 97504-8332
Phone number: 541-789-7000
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Mailing Address
-- TERRI B FAGAN FNP
100 E MAIN ST SUITE C
MEDFORD, OR 97501-6041
Phone number: 541-789-7000
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