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1649956244
KELLIE AMBER SANFORD
MEDFORD, OR
NPI
1649956244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
KELLIE AMBER SANFORD CNA2
10 CRATER LAKE AVE
MEDFORD, OR 97504-7445
Phone number: 541-772-0127
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Mailing Address
KELLIE AMBER SANFORD CNA2
1750 NEBRASKA AVE BLDG A
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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