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1598136368
DAVID WOODBURY
GRANTS PASS, OR
NPI
1598136368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA175019)
Enumeration Date
2015-10-19
Last Update Date
2015-11-11
Business Address
-- DAVID WOODBURY PA
537 UNION AVE
GRANTS PASS, OR 97527-5543
Phone number: 541-476-6777
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Mailing Address
-- DAVID WOODBURY PA
2620 E BARNETT RD SUITE H
MEDFORD, OR 97504-8344
Phone number: 541-789-4281
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