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1225650351
GREGORY LYNN GLASS
COOS BAY, OR
NPI
1225650351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-12
Last Update Date
2021-03-31
Business Address
GREGORY LYNN GLASS
1885 THOMPSON RD
COOS BAY, OR 97420-2152
Phone number: 541-266-8480
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Mailing Address
GREGORY LYNN GLASS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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