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1952468704
PEGGY LEE MEDINA
GRANTS PASS, OR
NPI
1952468704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date
2007-01-02
Last Update Date
2008-09-17
Business Address
-- PEGGY LEE MEDINA
1539 NE F ST
GRANTS PASS, OR 97526
Phone number: 541-956-7647
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Mailing Address
-- PEGGY LEE MEDINA
1539 NE F STREET
GRANTS PASS, OR 97526
Phone number: 541-956-7647
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