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Individual

JENNIFER DIANE CANADAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2393 CHARNELTON ST, EUGENE, OR 97405-2859
(541) 232-6583
Mailing address
2393 CHARNELTON ST, EUGENE, OR 97405-2859
(541) 232-6583

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
08/19/2022
Last updated
08/19/2022
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