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1609292069
MINDIE A MEDINA
MEDFORD, OR
NPI
1609292069
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Other Name
MINDIE A CLARNO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2014-03-10
Last Update Date
2014-03-10
Business Address
-- MINDIE A MEDINA BA
1005 E. MAIN ST
MEDFORD, OR 97504
Phone number: 702-420-9219
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Mailing Address
-- MINDIE A MEDINA BA
2190 DELTA WATERS RD
MEDFORD, OR 97504-4906
Phone number: 702-420-9219
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