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1417706029
RICHARD K HALSTED
MEDFORD, OR
NPI
1417706029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
RICHARD K HALSTED
2941 DOCTORS PARK DR
MEDFORD, OR 97504-8127
Phone number: 541-890-9594
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Mailing Address
RICHARD K HALSTED
14800 N APPLEGATE RD
GRANTS PASS, OR 97527-9455
Phone number: 757-771-7258
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