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1063996072
DANIEL DIRK
GRANTS PASS, OR
NPI
1063996072
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Entity Type
Organization
Authorized Contact
DANIEL DIRK
Sole Proptertor
541-450-0493
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-17
Last Update Date
2018-09-17
Business Address
DANIEL DIRK
777 NE 7TH ST STE 107
GRANTS PASS, OR 97526-1632
Phone number: 541-450-0493
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Mailing Address
DANIEL DIRK
320 SW L ST
GRANTS PASS, OR 97526-2928
Phone number: 541-450-0493
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