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1457935363
DOUGLAS MARK GOULD
MEDFORD, OR
NPI
1457935363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
Mr. DOUGLAS MARK GOULD PSS
213 S FIR ST
MEDFORD, OR 97501-3117
Phone number: 541-200-3000
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Mailing Address
Mr. DOUGLAS MARK GOULD PSS
213 S FIR ST
MEDFORD, OR 97501-3117
Phone number: 541-200-3000
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