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1427885862
TRACY CHARLESWORTH-JOHN
MEDFORD, OR
NPI
1427885862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
TRACY CHARLESWORTH-JOHN
10 CRATER LAKE AVE
MEDFORD, OR 97504-7445
Phone number: 541-772-0127
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Mailing Address
TRACY CHARLESWORTH-JOHN
1750 NEBRASKA AVE
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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