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1215770383
DAVID KYLE FODREA
JUNCTION CITY, OR
NPI
1215770383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
DAVID KYLE FODREA
29398 RECOVERY WAY STE 3
JUNCTION CITY, OR 97448-8447
Phone number: 541-995-2221
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Mailing Address
DAVID KYLE FODREA
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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