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Individual

MRS. JENNIFER-ANNE ROSE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
204 W 9TH ST, MEDFORD, OR 97501-3135
(541) 539-6371
Mailing address
PO BOX 1238, EAGLE POINT, OR 97524-1238
(541) 539-6371

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21551
OR

Other

Enumeration date
02/14/2018
Last updated
02/14/2018
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