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Individual

VIRGINIA H HAWKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
1474 SEVERSON DR, MEDFORD, OR 97504-5654
(541) 773-7207

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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