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1285983106
DAVID KEVIN BURNETT
MEDFORD, OR
NPI
1285983106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR A5098)
Enumeration Date
2012-09-06
Last Update Date
2014-12-11
Business Address
-- DAVID KEVIN BURNETT MSW
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
-- DAVID KEVIN BURNETT MSW
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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