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1346903671
KATIE DAWN PENNINGTON
MEDFORD, OR
NPI
1346903671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
KATIE DAWN PENNINGTON
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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Mailing Address
KATIE DAWN PENNINGTON
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number:
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