SHANOWAH STAR FRAKES

MEDFORD, OR
NPI1528838315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence:   101YM0800X)
Enumeration Date2024-01-03
Last Update Date2024-01-03
Business Address
SHANOWAH STAR FRAKES
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
Mailing Address
SHANOWAH STAR FRAKES
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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