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1063984326
JOHN DAVIS POGUE
MEDFORD, OR
NPI
1063984326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-27
Last Update Date
2021-09-21
Business Address
JOHN DAVIS POGUE
503 AIRPORT RD STE 102
MEDFORD, OR 97504-4159
Phone number: 541-858-8170
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Mailing Address
JOHN DAVIS POGUE
503 AIRPORT RD STE 102
MEDFORD, OR 97504-4159
Phone number: 541-858-8170
Copy
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