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1134998248
LUKE WINETROUT
MEDFORD, OR
NPI
1134998248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 000110122)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
Mr. LUKE WINETROUT
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 458-226-0963
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Mailing Address
Mr. LUKE WINETROUT
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 541-774-8200
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