ANTHONY B DEJACK

ASHLAND, OR
NPI1023281201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-04-08
Last Update Date2008-04-08
Business Address
-- ANTHONY B DEJACK MS
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
Mailing Address
-- ANTHONY B DEJACK MS
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
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