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1538478854
DIANE GALE TIBBITTS
MEDFORD, OR
NPI
1538478854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR CO851)
Enumeration Date
2010-10-04
Last Update Date
2010-10-04
Business Address
Mrs. DIANE GALE TIBBITTS L.P.C.
720 CARDLEY AVE
MEDFORD, OR 97504-6124
Phone number: 541-772-7068
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Mailing Address
Mrs. DIANE GALE TIBBITTS L.P.C.
720 CARDLEY AVE
MEDFORD, OR 97504-6124
Phone number: 541-772-7068
Copy
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