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1497114623
MICHAEL FORDICE
PENDLETON, OR
NPI
1497114623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-16
Last Update Date
2016-02-16
Business Address
MICHAEL FORDICE
2575 WESTGATE BLDG 3
PENDLETON, OR 97801-9613
Phone number: 541-276-6330
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Mailing Address
MICHAEL FORDICE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-377-2809
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