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1083318398
REBECCA SMITH
MEDFORD, OR
NPI
1083318398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2023-03-29
Last Update Date
2024-08-30
Business Address
REBECCA SMITH
1307 W MAIN ST
MEDFORD, OR 97501-2936
Phone number: 541-535-6239
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Mailing Address
REBECCA SMITH
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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