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1396312864
DARRIN KAYE PLANTENGA
MEDFORD, OR
NPI
1396312864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
DARRIN KAYE PLANTENGA
3512 LONE PINE RD
MEDFORD, OR 97504-5637
Phone number: 551-779-2003
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Mailing Address
DARRIN KAYE PLANTENGA
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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