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1578056495
KATHERINE A JACK
MEDFORD, OR
NPI
1578056495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
KATHERINE A JACK
201 W MAIN ST STE 4B
MEDFORD, OR 97501-2734
Phone number: 541-414-1720
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Mailing Address
KATHERINE A JACK
201 W MAIN ST STE 4B
MEDFORD, OR 97501-2734
Phone number:
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