Individual
JULIE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852
(541) 772-4648
(541) 858-7593
Mailing address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852
(541) 772-4648
(541) 858-7593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201400058LPN
OR
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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