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1295519759
LYLE NEIL BUETTNER
MEDFORD, OR
NPI
1295519759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
LYLE NEIL BUETTNER
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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Mailing Address
LYLE NEIL BUETTNER
2775 QUAIL RUN RD
TALENT, OR 97540-6730
Phone number: 541-531-8782
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