Individual
MISS JOCELYN JUDITH BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
301 W 5TH AVE STE B, EUGENE, OR 97401-2506
(541) 687-9097
Mailing address
1601 OLIVE ST APT 1112, EUGENE, OR 97401-3986
(541) 505-1955
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
19514
OR
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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