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1588183446
LYNNETTE GREEN
MEDFORD, OR
NPI
1588183446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
LYNNETTE GREEN
3156 STATE ST
MEDFORD, OR 97504-8450
Phone number: 541-476-2373
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Mailing Address
LYNNETTE GREEN
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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