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1619250826
SHELBY FOX LOGAN
GRANTS PASS, OR
NPI
1619250826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA205860)
Enumeration Date
2011-09-23
Last Update Date
2022-10-05
Business Address
SHELBY FOX LOGAN PA-C
702 SW RAMSEY AVE STE 112
GRANTS PASS, OR 97527-5859
Phone number: 541-472-0603
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Mailing Address
SHELBY FOX LOGAN PA-C
2780 E BARNETT RD STE 200
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
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