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1902465511
LEVI D VANCE
MEDFORD, OR
NPI
1902465511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-06-07
Last Update Date
2019-10-02
Business Address
LEVI D VANCE
2825 E BARNETT RD
MEDFORD, OR 97504-8332
Phone number: 541-789-7000
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Mailing Address
LEVI D VANCE
730 NOBILITY DR
MEDFORD, OR 97501-4485
Phone number: 801-200-1076
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