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1568767879
GEORGIA KING
MEDFORD, OR
NPI
1568767879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
-- GEORGIA KING M.A.
1005 E MAIN ST
MEDFORD, OR 97504-7448
Phone number: 541-774-7965
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Mailing Address
-- GEORGIA KING M.A.
1005 E MAIN ST
MEDFORD, OR 97504-7448
Phone number: 541-774-7965
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