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1396104709
SAMANTHA R BLANKENSHIP
MEDFORD, OR
NPI
1396104709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 14-08-20)
Enumeration Date
2016-02-12
Last Update Date
2019-02-04
Business Address
SAMANTHA R BLANKENSHIP CADC II
1025 E MAIN ST
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
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Mailing Address
SAMANTHA R BLANKENSHIP CADC II
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-326-4905
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