CORY FAGIN

BEND, OR
NPI1386109155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2019-02-06
Last Update Date2019-02-06
Business Address
CORY FAGIN
1039 NW JACKSONVILLE AVE
BEND, OR 97703-2345
Phone number: 513-709-4106
Mailing Address
CORY FAGIN
1039 NW JACKSONVILLE AVE
BEND, OR 97703-2345
Phone number: 513-709-4106