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1962503961
JALEH OSTOVAR
MEDFORD, OR
NPI
1962503961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200250155NP)
Enumeration Date
2006-09-25
Last Update Date
2019-04-23
Business Address
JALEH OSTOVAR FNP-C
3860 CRATER LAKE AVE
MEDFORD, OR 97504-9741
Phone number: 541-858-1003
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Mailing Address
JALEH OSTOVAR FNP-C
3860 CRATER LAKE AVE
MEDFORD, OR 97504-9741
Phone number: 541-858-1003
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