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1578299517
ANGEL SORENSEN
MEDFORD, OR
NPI
1578299517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-30
Last Update Date
2022-09-29
Business Address
ANGEL SORENSEN
1915 HAZEL AVE
MEDFORD, OR 97501-1630
Phone number: 541-476-2373
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Mailing Address
ANGEL SORENSEN
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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