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Organization
JENNA GRAVEN
Active
Organization
JENNA GRAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA LEE GRAVEN LMT (OWNER/MASSAGE THERAPIST)
(541) 292-6848
Entity
Organization
Contact information
Practice address
2246 ALOHA AVE, MEDFORD, OR 97504-6938
(541) 292-6848
Mailing address
2246 ALOHA AVE, MEDFORD, OR 97504-6938
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
18121
OR
Other
Enumeration date
05/25/2015
Last updated
05/25/2015
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