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1417168121
GABRIEL JOEL MCCOY
MEDFORD, OR
NPI
1417168121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR TO413)
Enumeration Date
2007-05-24
Last Update Date
2014-11-12
Business Address
Mr. GABRIEL JOEL MCCOY LMFT
1316 W MAIN ST
MEDFORD, OR 97501-2937
Phone number: 541-245-2787
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Mailing Address
Mr. GABRIEL JOEL MCCOY LMFT
815 E JACKSON ST
MEDFORD, OR 97504-6713
Phone number: 541-245-2787
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