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1518557743
RYAN DOUGLAS GINN
MEDFORD, OR
NPI
1518557743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R6711)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
RYAN DOUGLAS GINN MA
221 W MAIN ST STE 300
MEDFORD, OR 97501-2728
Phone number: 541-821-9559
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Mailing Address
RYAN DOUGLAS GINN MA
PO BOX 36
MEDFORD, OR 97501-0003
Phone number: 541-219-5598
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