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1528429040
IAN CRISTOBAL
CENTRAL POINT, OR
NPI
1528429040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2016-03-10
Last Update Date
2024-03-26
Business Address
IAN CRISTOBAL
524 MANZANITA ST
CENTRAL POINT, OR 97502-2352
Phone number: 541-423-5236
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Mailing Address
IAN CRISTOBAL
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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