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1619791415
PEDIATRIC NEURODEVELOPMENTAL & BEHAVIORAL CLINIC OF SOUTHERN OREGON
MEDFORD, OR
NPI
1619791415
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Entity Type
Organization
Authorized Contact
JENNIFER BOUDREAUX
Owner/Provider
541-324-3648
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2024-11-09
Last Update Date
2024-11-09
Business Address
PEDIATRIC NEURODEVELOPMENTAL & BEHAVIORAL CLINIC OF SOUTHERN OREGON
33 N CENTRAL AVE STE 317
MEDFORD, OR 97501-5939
Phone number: 541-227-2808
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Mailing Address
PEDIATRIC NEURODEVELOPMENTAL & BEHAVIORAL CLINIC OF SOUTHERN OREGON
33 N CENTRAL AVE STE 317
MEDFORD, OR 97501-5939
Phone number: 541-227-2808
Copy
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