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1275838245
JODY DATZ
MEDFORD, OR
NPI
1275838245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-01-21
Last Update Date
2017-01-04
Business Address
Mrs. JODY DATZ M.A.
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
Mrs. JODY DATZ M.A.
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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