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1578933123
FRED GARNICA
MEDFORD, OR
NPI
1578933123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA186717)
Enumeration Date
2015-09-25
Last Update Date
2020-09-29
Business Address
FRED GARNICA
503 AIRPORT RD STE 101
MEDFORD, OR 97504-4159
Phone number: 541-200-2900
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Mailing Address
FRED GARNICA
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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