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Individual

DANE MONTAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 NE E ST, GRANTS PASS, OR 97526-2369
(541) 479-5505
Mailing address
606 NE DEAN DR, GRANTS PASS, OR 97526-2233
(435) 841-9482

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/08/2023
Last updated
05/04/2026
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