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1346003951
JOSHUWA PROCTOR
KLAMATH FALLS, OR
NPI
1346003951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3443)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
JOSHUWA PROCTOR
2074 S 6TH ST
KLAMATH FALLS, OR 97601-3372
Phone number: 541-851-8110
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Mailing Address
JOSHUWA PROCTOR
2074 S 6TH ST
KLAMATH FALLS, OR 97601-3372
Phone number: 541-851-8110
Copy
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