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1417034794
RITA DE-HAAN SULLIVAN
MEDFORD, OR
NPI
1417034794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 965)
Enumeration Date
2006-11-01
Last Update Date
2017-05-11
Business Address
-- RITA DE-HAAN SULLIVAN Ph.D
201 W MAIN ST SUITE 1B
MEDFORD, OR 97501-2744
Phone number: 541-944-5711
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Mailing Address
-- RITA DE-HAAN SULLIVAN Ph.D
PO BOX 4152
MEDFORD, OR 97501-0154
Phone number: 541-944-5711
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