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1316076078
FRED JESNEN
CENTRAL POINT, OR
NPI
1316076078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- FRED JESNEN CADC
600 S 2ND ST
CENTRAL POINT, OR 97502-2704
Phone number: 541-789-4000
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Mailing Address
-- FRED JESNEN CADC
100 E MAIN ST SUITE C
MEDFORD, OR 97501-6041
Phone number: 541-789-5526
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