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Organization
AVANTGARDE AESTHETIC AND WELLNESS MEDICAL CENTER
Active
Organization
AVANTGARDE AESTHETIC AND WELLNESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELENA BLACKBURN ND (DIRECTOR)
(541) 238-2108
Entity
Organization
Contact information
Practice address
1000 WILLAGILLESPIE RD STE 175, EUGENE, OR 97401-7106
(541) 514-1727
Mailing address
1000 WILLAGILLESPIE RD STE 175, EUGENE, OR 97401-7106
(541) 514-1727
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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