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1386001147
LESLIE J KENDALL
MEDFORD, OR
NPI
1386001147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 08-06-39)
Enumeration Date
2016-01-25
Last Update Date
2016-01-25
Business Address
-- LESLIE J KENDALL
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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Mailing Address
-- LESLIE J KENDALL
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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