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Individual

MISS APRIL C CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
3518 MICHAEL PARK DR, MEDFORD, OR 97504-8385
(541) 613-1408
(541) 210-9289
Mailing address
3518 MICHAEL PARK DR, MEDFORD, OR 97504-8385
(541) 613-1408
(541) 210-9289

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/03/2009
Last updated
01/24/2016
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