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Individual

MRS. MARCI MICHELLE RAYMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
700 SW RAMSEY AVE STE 101, GRANTS PASS, OR 97527-5788
(541) 789-5906
(541) 789-7123
Mailing address
2825 E BARNETT, RRMC MSS, MEDFORD, OR 97504
(541) 789-4281
(541) 789-4806

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10203735
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165772
OR
Enumeration date
04/21/2010
Last updated
11/13/2019
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