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Individual

MR. JEREM ST JOHN EGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
33 N CENTRAL AVE, SUITE 410, MEDFORD, OR 97501-5900
(541) 282-7950
(541) 857-4531
Mailing address
33 N CENTRAL AVE, SUITE 410, MEDFORD, OR 97501-5900
(541) 282-7950
(541) 857-4531

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13128
OR

Other

Enumeration date
02/28/2008
Last updated
02/28/2008
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