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1417388703
BRAYTON DANIEL TOMPKINS
MEDFORD, OR
NPI
1417388703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-12-11
Last Update Date
2021-09-17
Business Address
BRAYTON DANIEL TOMPKINS
601 S. PEACH STREET
MEDFORD, OR 97501
Phone number: 541-842-3855
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Mailing Address
BRAYTON DANIEL TOMPKINS
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number:
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