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1417310236
ADRIANNA JUMPING EAGLE
MEDFORD, OR
NPI
1417310236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 14-R-45)
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
-- ADRIANNA JUMPING EAGLE CADC II
1003 E MAIN ST SUITE 104
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
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Mailing Address
-- ADRIANNA JUMPING EAGLE CADC II
1003 E MAIN ST SUITE 104
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
Copy
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