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1003326489
MICHAEL DAVID HOLT
MEDFORD, OR
NPI
1003326489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
MICHAEL DAVID HOLT
1175 E MAIN ST
MEDFORD, OR 97504-7499
Phone number: 541-772-0127
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Mailing Address
MICHAEL DAVID HOLT
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number:
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