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1811155104
JANEL MARIE WANGSVICK-LANE
MEDFORD, OR
NPI
1811155104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1041315)
Enumeration Date
2008-05-23
Last Update Date
2008-05-23
Business Address
Ms. JANEL MARIE WANGSVICK-LANE OTR/L
2901 E BARNETT RD
MEDFORD, OR 97504-8308
Phone number: 541-779-4221
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Mailing Address
Ms. JANEL MARIE WANGSVICK-LANE OTR/L
149 BIRCH WOOD
EAGLE POINT, OR 97524-9717
Phone number: 541-973-7330
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