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Organization
JAMIE SLAGEL LAC LLC
Active
Organization
JAMIE SLAGEL LAC LLC
Active
Other names
Eagle Cap Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE KIMBALL DACM (OWNER)
(541) 398-8318
Entity
Organization
Contact information
Practice address
616 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 398-8318
(541) 960-3904
Mailing address
616 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 398-8318
(541) 960-3904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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