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1245467869
KIM HEEGARD JENSEN
MEDFORD, OR
NPI
1245467869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T1124)
Enumeration Date
2009-06-22
Last Update Date
2024-02-07
Business Address
Mr. KIM HEEGARD JENSEN MFT
1911 HAZEL AVE
MEDFORD, OR 97501-1630
Phone number: 541-476-2373
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Mailing Address
Mr. KIM HEEGARD JENSEN MFT
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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