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1114487956
NATHAN J MACDONALD
MEDFORD, OR
NPI
1114487956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
NATHAN J MACDONALD
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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Mailing Address
NATHAN J MACDONALD
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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