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1306129804
DAVID J MORTELLARO
MEDFORD, OR
NPI
1306129804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-21
Last Update Date
2014-12-19
Business Address
Mr. DAVID J MORTELLARO
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
Mr. DAVID J MORTELLARO
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
Copy
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