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1619498839
JACOB ALEX KUMP
MEDFORD, OR
NPI
1619498839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C6384)
Enumeration Date
2017-06-28
Last Update Date
2024-02-07
Business Address
JACOB ALEX KUMP
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
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Mailing Address
JACOB ALEX KUMP
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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