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Individual

EMMA WENDI JEGTVIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
(541) 747-0655
Mailing address
85326 DILLEY LN, EUGENE, OR 97405-9667

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
108118
OR

Other

Enumeration date
01/25/2023
Last updated
05/02/2023
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