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1477174761
COREY RENFREE
MEDFORD, OR
NPI
1477174761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
COREY RENFREE
1191 HAZEL STREET
MEDFORD, OR 97501
Phone number: 541-476-2373
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Mailing Address
COREY RENFREE
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number:
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