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Individual

DR. JULIE R FAGUNDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
670 SUPERIOR CT STE 101, MEDFORD, OR 97504-6179
(541) 779-6170
(541) 779-0989
Mailing address
670 SUPERIOR CT STE 101, MEDFORD, OR 97504-6179
(541) 779-6170
(541) 779-0989

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8203
OR

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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