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1639893142
LAURA TERESA DIAZ
MEDFORD, OR
NPI
1639893142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
LAURA TERESA DIAZ QMHA
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
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Mailing Address
LAURA TERESA DIAZ QMHA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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