SHASTA GISH

MEDFORD, OR
NPI1255832317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-02-23
Last Update Date2018-09-07
Business Address
SHASTA GISH CADC I
221 W MAIN ST
MEDFORD, OR 97501
Phone number: 541-772-1777
Mailing Address
SHASTA GISH CADC I
221 W MAIN ST
MEDFORD, OR 97501-2728
Phone number: 541-772-1777
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