MARK JEFFREY DAVIS

MEDFORD, OR
NPI1003154162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-01-24
Last Update Date2021-02-03
Business Address
MARK JEFFREY DAVIS QMHA
1191 HAZEL ST
MEDFORD, OR 97501
Phone number: 541-476-2373
Mailing Address
MARK JEFFREY DAVIS QMHA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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