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1205371317
MATTHEW HAVNIEAR
MEDFORD, OR
NPI
1205371317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-28
Last Update Date
2016-12-28
Business Address
MATTHEW HAVNIEAR
1175 E MAIN ST STE 1B
MEDFORD, OR 97504-7457
Phone number: 541-858-8170
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Mailing Address
MATTHEW HAVNIEAR
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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