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1477268670
RICHARD DEAN TANKSLEY
MEDFORD, OR
NPI
1477268670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
RICHARD DEAN TANKSLEY MSW
2978 WAVERLY WAY
MEDFORD, OR 97504-5075
Phone number: 505-435-0519
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Mailing Address
RICHARD DEAN TANKSLEY MSW
2978 WAVERLY WAY
MEDFORD, OR 97504-5075
Phone number: 505-435-0519
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PEACEMIND THERAPY LLC