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1275101685
MELANIE JEAN LUEVANO
MEDFORD, OR
NPI
1275101685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-12
Last Update Date
2021-06-12
Business Address
MELANIE JEAN LUEVANO
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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Mailing Address
MELANIE JEAN LUEVANO
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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