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1114527116
ETHAN ANTHONY ARLT
ASHLAND, OR
NPI
1114527116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
ETHAN ANTHONY ARLT
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
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Mailing Address
ETHAN ANTHONY ARLT
201 W MAIN ST STE 4B
MEDFORD, OR 97501-2734
Phone number: 541-414-1720
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