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Case Number and Status

Case Number: I-200-18338-442754

Submitted on:

CERTIFIED

on:

Employment

From: 2019-01-01

To: 2021-12-31 (1,095 days)

Address

1365 Poplar Drive
Medford, OR 97504

Phone

5417732233


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Physician
City and State
Medford, OREGON
County
Jackson

Soc Code
29-1069.00
Naics Code
Industry Code
62111