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1851872428
IDA MARIELKE FUNKE
MEDFORD, OR
NPI
1851872428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: OR 02851)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
IDA MARIELKE FUNKE PT
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5028
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Mailing Address
IDA MARIELKE FUNKE PT
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5028
Copy
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