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Organization

JGK, LLC

Active
Other names
OS Medical LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ROMINA LO MONTANO FNP-C (LEAD CLINICAL PROVIDER)
(520) 704-6787
Entity
Organization

Contact information

Practice address
630 N ALVERNON WAY, STE 260, TUSCON, AZ 85711
(520) 704-6787
(520) 849-9525
Mailing address
630 N ALVERNON WAY, STE 260, TUSCON, AZ 85711

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
10/03/2022
Last updated
10/03/2022
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