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Individual

JALEN SHEGRUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1710 NE FAIRVIEW AVE, GRANTS PASS, OR 97526-3877
(541) 479-2606
Mailing address
2179 SHANE WAY, GRANTS PASS, OR 97527-4249
(218) 368-8674

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9934
OR

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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