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1568074698
JOCKSANA PAULINA CORONA
MEDFORD, OR
NPI
1568074698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
Mrs. JOCKSANA PAULINA CORONA
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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Mailing Address
Mrs. JOCKSANA PAULINA CORONA
460 ARNOS RD UNIT 88
TALENT, OR 97540-9551
Phone number: 541-621-9619
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