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1285406678
PAUL ANTHONY COFFELT
MEDFORD, OR
NPI
1285406678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-10-27
Last Update Date
2023-10-27
Business Address
PAUL ANTHONY COFFELT
1911 HAZEL AVE
MEDFORD, OR 97501-1630
Phone number: 541-476-2373
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Mailing Address
PAUL ANTHONY COFFELT
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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