JACE T HINESLY

MEDFORD, OR
NPI1558923334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-07-02
Last Update Date2019-07-02
Business Address
JACE T HINESLY
3200 JUANIPERO WAY
MEDFORD, OR 97504-8580
Phone number: 541-816-4131
Mailing Address
JACE T HINESLY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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