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1184081788
AMANDA KRUG
MEDFORD, OR
NPI
1184081788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 13-06-78)
Enumeration Date
2016-01-27
Last Update Date
2016-01-27
Business Address
-- AMANDA KRUG
3397 DELTA WATERS RD
MEDFORD, OR 97504-5852
Phone number: 541-772-4648
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Mailing Address
-- AMANDA KRUG
3397 DELTA WATERS RD
MEDFORD, OR 97504-5852
Phone number: 541-772-4648
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